MR. NICHOLAS JAMES IAMON (NPI# 1174085831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174085831 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS JAMES IAMON |
| Credential | RN |
| Practice Address |
3955 Salmon River Hwy Otis OR 97368-9778 |
| Practice Telephone | 5416144437 |
| Practice Fax Number | 8889772106 |
| Mailing Telephone | 5416144437 |
| Mailing Fax Number | 8889772106 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
201141963RN | OR | Nursing Service Providers |
| Street Address |
3955 SALMON RIVER HWY |
| City | OTIS |
| State | OR |
| Zip Code | 97368-9778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891173571 | Keva Doreen Southwell | Physician Assistant | 3955 Salmon River Hwy, Otis, OR 97368 | 2015-05-13 |
| 1609338359 | Regina Andrea Diel | Counselor | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1275095937 | Jamayca Jasmine Nelson | Registered Nurse | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1720540461 | Christine Ann Massingale | Counselor | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1699237354 | Curtis P Waring | Registered Nurse | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1437611167 | Brandie Marie Randleman | Counselor | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2019-04-02 |
| 1982197182 | Power House Detox | Rehabilitation, Substance Use Disorder Unit | 3955 Salmon River Hwy, Otis, OR 97368-9778 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459464 | Jessica Marie Homan | Counselor | 3555 Salmon River Hwy, Otis, OR 97368 | 2019-04-03 |
| 1255502340 | Sharon Ann Lee | Social Worker | 7905 Ne 50th St, Otis, OR 97368 | 2008-03-17 |
| 1992839781 | Cynthia J. Luxford | Midwife | 3013 N. Northbank Road, Otis, OR 97368 | 2007-03-15 |
| 1386947950 | Dayna Rosalie Beadel Smith | Licensed Vocational Nurse | 799 N Deerlane Loop, Otis, OR 97368-9677 | 2010-12-21 |
| 1669704052 | Home Sweet Home Birth Center, LLC | Clinic/Center | 3013 N North Bank Rd, Otis, OR 97368-9754 | 2010-02-09 |
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181313 | Silvia Maciel | Registered Nurse | 1151 May St Ste 201, Hood River, OR 97031-1526 | 2019-12-19 |
| 1982124970 | Brenda Backhaus | Registered Nurse | 5935 Sladen Ave, Gladstone, OR 97027-1952 | 2017-06-21 |
| 1568906550 | Nancy Jane Spiegel | Registered Nurse | 13925 Sw Bonnie Brae Ct, Beaverton, OR 97005-4320 | 2016-12-08 |
| 1356707624 | Timothy Lee Unger | Registered Nurse | 3785 Se 317th Ave, Troutdale, OR 97060-9401 | 2016-01-02 |
| 1376888479 | Jill Marie Riffe | Registered Nurse | 10633 Se Flavel St, Portland, OR 97266-6026 | 2012-11-30 |
| 1124319306 | Julie Ann Brown | Registered Nurse | 2765 Sw 24th St, Gresham, OR 97080-5207 | 2011-04-22 |
| 1922215698 | Ellen G. Frichette | Registered Nurse | 1339 Ne Ford St, Mcminnville, OR 97128-3634 | 2007-05-16 |
| 1942256730 | Elaine Marian Hooper | Registered Nurse | 385 Ranch Road, Reedsport, OR 97467 | 2006-05-25 |
| 1285698555 | Jacqualine M Terrill Cooke | Registered Nurse | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2006-04-13 |
| 1083693295 | Sharon Dixie Mcconnell | Registered Nurse | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2006-01-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.