JESSAMY J OTTESON (NPI# 1184123119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184123119 |
| Entity Type | Individual |
| Full Name | JESSAMY J OTTESON |
| Practice Address |
2575 Westgate Bldg 1 Pendleton OR 97801-9613 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5412766330 |
| Practice Fax Number | 5412766295 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
200841988RN | OR | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70362 Kunze Ln, Boardman, OR 978188013 | 5414813233 | 5414813234 |
| Street Address |
2575 WESTGATE BLDG 1 |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295072767 | Kimberly Seavert | Social Worker | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2013-01-03 |
| 1063076339 | Haley A Young | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2019-04-23 |
| 1609333632 | Lacey Evans | Registered Nurse | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2019-02-26 |
| 1891265617 | Mildred J Sims | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-12-05 |
| 1649740390 | Rafael Bedolla | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-11-26 |
| 1134694003 | James G Beardsley | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-10-08 |
| 1265927099 | Jon Everett Young | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-06-25 |
| 1619485364 | Maria A Simpson | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2018-01-16 |
| 1902344559 | Christopher Bounds | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2017-02-03 |
| 1285179515 | Christina Moe | Counselor | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350563 | Daniel E Eslinger | Registered Nurse | 125 Se 1st St, Pendleton, OR 97801-2203 | 2006-05-09 |
| 1992783849 | Russell Aldous Kelley | Registered Nurse | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2006-01-01 |
| 1609333632 | Lacey Evans | Registered Nurse | 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 | 2019-02-26 |
| 1881142503 | Juanita F Wood | Registered Nurse | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2016-09-12 |
| 1194060855 | Rachael Pallis | Registered Nurse | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-12-06 |
| 1598959223 | Risa Gayle Riggen | Registered Nurse | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747607 | Kendall Clayton Karch | Registered Nurse | 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 | 2019-12-12 |
| 1003315045 | Ryan Tateishi | Registered Nurse | 966 12th St Se Ste 110, Salem, OR 97302-2860 | 2018-02-05 |
| 1952815532 | Shane Martin | Registered Nurse | 2110 Augusta St, Eugene, OR 97403-2202 | 2017-11-19 |
| 1811349160 | Aleksey Maksimov | Registered Nurse | 4757 Parkview Dr Apt B, Lake Oswego, OR 97035-2426 | 2016-07-11 |
| 1366832461 | Maria Liotta Shindler | Registered Nurse | 6201 Ne Carillion Dr, Hillsboro, OR 97124-8590 | 2015-01-27 |
| 1346651882 | Holly Marie Matthews | Registered Nurse | 788 Saint Charles Pl, Hood River, OR 97031-8785 | 2014-05-19 |
| 1376987404 | Helen Erika Horst | Registered Nurse | 2020 State Rd, Mosier, OR 97040 | 2013-04-19 |
| 1598013997 | Trina Marie Espiasse | Registered Nurse | 47940 Sw Ihrig Rd, Forest Grove, OR 97116-7329 | 2012-08-16 |
| 1275810665 | Esther Gabrielle Rosengarten | Registered Nurse | 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 | 2011-11-14 |
| 1336436823 | Susan Elizabeth Stone | Registered Nurse | 19333 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSAMY J OTTESON.
| 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.