MRS. JESSICA RAE CLABORN


Address: 111 E. Main St., Everson, WA 98247
Phone: 3609662700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MA00023033 WA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA DEPT. OF L&I 0213521 01

Office Location

Street Address 111 E. MAIN ST.
City EVERSON
State WA
Zip Code 98247

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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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Competitor

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City EVERSON
Zip Code 98247

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Dataset Information

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.

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