MRS. JESSICA LEIGH JACOBS (NPI# 1275187189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275187189 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LEIGH JACOBS |
| Credential | EFDA |
| Practice Address |
5025 Se 28th Ave Portland OR 97202-4445 |
| Practice Telephone | 5032384418 |
| Mailing Telephone | 5032384418 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250769 | Jessica Nicole Jacobs | Speech-Language Pathologist | 315 E Peak Blvd, Muskogee, OK 74403-8515 | 2020-09-21 |
| 1629608138 | Jessica Lynn Jacobs | Student in an Organized Health Care Education/Training Program | 360 Fincher Rd, Roanoke, AL 36274-2632 | 2020-01-23 |
| 1548807803 | Jessica Lynn Jacobs | Chiropractor | 15 Sherwood Cres, Dix Hills, NY 11746-6458 | 2019-12-05 |
| 1134679574 | Jessica Jacobs | Physical Therapy Assistant | 2693 Brooksedge Vw, Colorado Springs, CO 80910-4454 | 2016-10-10 |
| 1255733689 | Jessica Van Ness Jacobs | Social Worker | 313 Western Blvd Ste E, Greenwood, IN 46142-9217 | 2014-09-17 |
| 1922354364 | Jessica Jacobs | Licensed Practical Nurse | 127 1/2 N 3rd St, Coshocton, OH 43812-1503 | 2012-08-02 |
| 1972960169 | Jessica Jacobs | Social Worker | 9720 Capital Ct, Suite 301, Office 3, Manassas, VA 20110-2044 | 2016-01-20 |
| 1518335694 | Jessica Nicole Jacobs | Student in an Organized Health Care Education/Training Program | 331 S 3rd St, Bardstown, KY 40004-1032 | 2015-09-08 |
| 1629453311 | Jessica Lynn Jacobs | Counselor | 10820 Sunset Office Dr, Saint Louis, MO 63127-1030 | 2015-07-23 |
| 1245631761 | Jessica Faith Sara Jacobs | Counselor | 8 Atwood Dr, 301, Northampton, MA 01060-4272 | 2014-09-16 |
| Street Address |
5025 SE 28TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467477315 | Charles Calvert Rosson IIi | Dentist | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2006-07-13 |
| 1225674757 | Sarah Bachman | Dental Assistant | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2019-11-19 |
| 1669998977 | Meghan Kathleen Toevs Duey | Dental Hygienist | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2017-08-17 |
| 1235672049 | Nicole Lyemone Yeats | Dental Assistant | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2016-11-28 |
| 1265984546 | Kaiser Foundation Health Plan of The Northwest | Dentist | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2016-11-02 |
| 1821451394 | Keith Herkert | Dentist | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2016-04-01 |
| 1841620507 | Sierra Brandon | Dental Hygienist | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2013-11-17 |
| 1699105494 | Jessicah Marie Brick | Dental Hygienist | 5025 Se 28th Ave, Portland, OR 97202 | 2013-11-15 |
| 1245580497 | Jennifer Christine Mcguire | Dental Assistant | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2012-09-14 |
| 1568793024 | Mark Allan Villanueva | Dentist | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2010-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616970 | Miryam Gallardo | Dental Assistant | 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 | 2020-07-06 |
| 1366911521 | Falasteen Adel | Dental Assistant | 1346 Ne 134th Ave, Portland, OR 97230-3211 | 2018-11-16 |
| 1730449893 | Tammy Loraine Rongone | Dental Assistant | 822 N.e. 181st. Ave, Portland, OR 97230-6708 | 2012-05-23 |
| 1205101201 | Patrick Stevens Edwards | Dental Assistant | 8728 N Haven Ave, Portland, OR 97203-3426 | 2012-03-09 |
| 1548464258 | Julie Rose Jennings | Dental Assistant | 11732 Se Malden Ct, Portland, OR 97266-8101 | 2007-06-14 |
| 1750594164 | Christine Marie Hassing | Dental Assistant | 10102 Ne Glisan, Portland, OR 97220 | 2007-05-08 |
| 1598835423 | Alona Elizabeth Polecastro | Dental Assistant | 4512 Se Woodstock, Portland, OR 97206 | 2006-11-08 |
| 1285724021 | Rachael Annette Chambers | Dental Assistant | 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 | 2006-10-13 |
| 1760584809 | Wanessa Chambers | Dental Assistant | 5319 Ne Killingsworth St, Portland, OR 97218-2400 | 2006-09-01 |
| 1407963127 | Christina A Robledo | Dental Assistant | North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 | 2006-08-25 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MRS. JESSICA LEIGH JACOBS.
| 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.