MRS. JESSICA RAE CLABORN (NPI# 1194947689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194947689 |
Entity Type | Individual |
Full Name | MRS. JESSICA RAE CLABORN |
Credential | LMP |
Practice Address |
111 E. Main St. Everson WA 98247 |
Mailing Address |
Po Box 520 Everson WA 98247-0520 |
Practice Telephone | 3609662700 |
Practice Fax Number | 3609662701 |
Mailing Telephone | 3609662700 |
Mailing Fax Number | 3609662700 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MA00023033 | WA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | DEPT. OF L&I | 0213521 | 01 |
Street Address |
111 E. MAIN ST. |
City | EVERSON |
State | WA |
Zip Code | 98247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902352727 | Francis Pitsch | Counselor | 2505 B Sulwhanon Dr, Everson, WA 98247 | 2016-08-31 |
1073959524 | Candice Dorsten | Counselor | 2505 Sulwhanon Dr, Everson, WA 98247 | 2013-05-10 |
1881938389 | Shannon Bb Trulson | Marriage & Family Therapist | 2505 Sulwhanon Drive, Everson, WA 98247 | 2012-11-21 |
1679866594 | Brian Erik Aasby | Physical Therapist | 102 W. Main St., Ste 103, Everson, WA 98247 | 2011-05-25 |
1417278433 | Elliott Chiropractic Clinic, Pllc | Chiropractor | 111 E.main Street, Everson, WA 98247 | 2010-06-14 |
1851620835 | Sara Majumdar | Counselor | 2505 Sulwhanon Dr., Everson, WA 98247 | 2009-12-21 |
1073740585 | Whatcom County Fire Protection District No. 1 | Ambulance | 101 East Main Street, Everson, WA 98247 | 2009-06-11 |
1942455688 | Gimi Remedios Garcia | Counselor | 6746 Mission Rd., Everson, WA 98247 | 2008-11-21 |
1952442881 | Scott Russell Elliott | Chiropractor | 111 E Main St.reet, Everson, WA 98247 | 2007-02-12 |
1316039373 | Alex Ilyin | Optometrist | 205 West Main Street, Everson, WA 98247 | 2006-09-28 |
Find all providers in zip 98247 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
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1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
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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.