JONELL BLASE


Address: 6242 Sw Timber Ridge Dr, Corvallis, OR 97333-2942
Phone: 5419297880

JONELL BLASE (NPI# 1245391192) 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) 1245391192
Entity Type Individual
Full Name JONELL BLASE
Credential NP
Practice Address 6242 Sw Timber Ridge Dr
Corvallis
OR 97333-2942
Mailing Address 3355 Riverbend Dr
# 500
Springfield
OR 97477-8800
Practice Telephone 5419297880
Mailing Telephone 5419297880
Enumeration Date 2006-12-13
Last Update Date 2016-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
84052765 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR OMAP 276733 01
OK WORKMAN'S COMP ANP 0052 01

Office Location

Street Address 6242 SW TIMBER RIDGE DR
City CORVALLIS
State OR
Zip Code 97333-2942

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437629037 Collin Korthauer Case Manager/Care Coordinator 1650 Sw 45th Place, Corvallis, OR 97333 2018-11-27
1477079937 Adam Johnson Counselor 518 Sw 3rd, Corvallis, OR 97333 2017-08-16
1386961522 Michael S. Hanson Counselor 518 Sw 3rd St., Corvallis, OR 97333 2010-04-28
1134392376 Corvallis Physical Therapy Inc Physical Therapist 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 2008-04-09
1154529600 Linda S Lavallee Conniff Social Worker 216 Sw Madison Av, #9 10, Corvallis, OR 97333 2007-07-06
1235337056 Robert R Conniff Social Worker 216 Sw Madison Ave, 2, Corvallis, OR 97333 2007-07-03
1619178829 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 4455 Highway North West Highway 20, Corvallis, OR 97333 2007-05-29
1437368867 Margaret Anne Cooper Physical Therapist 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 2007-05-22
1801009311 Madeline Elizabeth Rubin Social Worker 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 2007-05-08
1780707174 Wheeler John Dale Internal Medicine 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 2007-04-09
Find all providers in zip 97333

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700122124 Deborah Marchino Nurse Practitioner 3640 Nw Samaritan Drive, Suite 270, Corvallis, OR 97330-3769 2012-12-13
1710277330 Susan Elizabeth Sligh Nurse Practitioner 2001 Nw Monroe Ave, 100, Corvallis, OR 97330-5508 2011-04-15
1780824672 Cynthia Lee Bream Nurse Practitioner 1873a Nw Kings Blvd, Corvallis, OR 97330-1964 2009-03-04
1023292570 Christy M Rummel Nurse Practitioner 1760 Sw 3rd St, Corvallis, OR 97333-1725 2007-12-19
1750585857 Ilene Sharon Cann Nurse Practitioner 2001 Nw Monroe Ave Ste 104, Corvallis, OR 97330-5567 2007-06-13
1841228145 Cristino Rodriguez Nurse Practitioner 527 Nw 27th Street, Corvallis, OR 97330 2006-06-28
1598745861 Paula Marie King Nurse Practitioner 3680 Nw Samaritan Drive, Corvallis, OR 97330-3737 2006-01-20
1427033729 Susan Carol Keister Nurse Practitioner 527 Nw 27th Avenue, Corvallis, OR 97330 2005-12-08
1023090339 Sherry Ruth Goeden Vi Nurse Practitioner 121 Se Viewmont Ave, Corvallis, OR 97333-1968 2005-11-14
1346241262 Renee Edwards Nurse Practitioner 656 Nw Mirador Pl, Corvallis, OR 97330-4698 2005-08-02
Find all providers in CORVALLIS

Competitor

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City CORVALLIS
Zip Code 97333

Improve Information

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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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