JOSPEHINE A ODUOR (NPI# 1194979690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194979690 |
| Entity Type | Individual |
| Full Name | JOSPEHINE A ODUOR |
| Credential | PA |
| Practice Address |
505 Ne 87th Avenue Suite 200 Vancouver WA 98664 |
| Mailing Address |
9023 Se Ash Portland OR 97216 |
| Practice Telephone | 3602568836 |
| Practice Fax Number | 3602565024 |
| Mailing Telephone | 5034084403 |
| Mailing Fax Number | 3602565024 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01272 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60053259 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 NE 87TH AVENUE SUITE 200 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422651 | Colleen L Fox | Obstetrics & Gynecology | 505 Ne 87th Avenue, Suite 160, Vancouver, WA 98664-4897 | 2006-01-20 |
| 1720153513 | Donna S. Launey | Radiology | 505 Ne 87th Avenue, Suite Ll50, Vancouver, WA 98664 | 2006-11-21 |
| 1336177880 | Dermatology Associates | Emergency Medicine | 505 Ne 87th Avenue, Bldg B Suite 303, Vancouver, WA 98664-1965 | 2006-06-30 |
| 1306874748 | Karen M Vigeland | Dermatology | 505 Ne 87th Avenue, Bldg B Suite 303, Vancouver, WA 98664-1965 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1194128116 | Kimberlee Tess | Physician Assistant | 13003 Ne 46th St, Vancouver, WA 98682-6465 | 2014-10-04 |
| 1689977852 | Maliheh Razavi | Physician Assistant | 14508 Nw 20th Ave Ste 102, Vancouver, WA 98685 | 2010-12-10 |
| 1093936122 | Dan Lee Osborne | Physician Assistant | 4421 Ne St. Johns Blvd, Suite F, Vancouver, WA 98661-2573 | 2007-05-02 |
| 1629158464 | Joseph No Middle Name Marzucco | Physician Assistant | 406 Se 131st Ave Ste 101, Vancouver, WA 98683-4031 | 2006-10-16 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1689077059 | Aaron Fordice | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-09-30 |
| Find all providers in VANCOUVER | ||||
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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.