JORDANN WALLIS (NPI# 1316544075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316544075 |
| Entity Type | Individual |
| Full Name | JORDANN WALLIS |
| Credential | MS, CGC |
| Practice Address |
5840 Ne 32nd Ave Portland OR 97211-6702 |
| Practice Telephone | 9712216946 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address |
5840 NE 32ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821017500 | Valerie Catherine Banks | Genetic Counselor, MS | 887 Congress Street, Suite 320, Portland, ME 04102 | 2006-07-19 |
| 1417908377 | Jamilyn M Daniels | Genetic Counselor, MS | 5843 Sw Florida St, Portland, OR 97219-1221 | 2006-05-15 |
| 1407807720 | Cheryl A Miranda | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2006-05-12 |
| 1184604340 | Tamra Gibby Hill | Genetic Counselor, MS | 2737 Ne 7th Ave, Portland, OR 97212-3120 | 2006-01-21 |
| 1538148226 | Heather Cooper Dorsey | Genetic Counselor, MS | 300 N Graham St Ste 100, Portland, OR 97227-1667 | 2006-01-11 |
| 1841278025 | Patricia Himes | Genetic Counselor, MS | Department of Medical Genetics, 3325 N Interstate Ave, Portland, OR 97227 | 2006-01-06 |
| 1134118011 | Emily L Mounts | Genetic Counselor, MS | 808 Sw 15th Ave, Portland, OR 97205 | 2005-10-13 |
| 1699324061 | Natalie Waligorski | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-09-09 |
| 1801457130 | Alena Rose Faulkner | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-06-26 |
| 1326522715 | Puneet Kaur Rai | Genetic Counselor, MS | 3181 Sw Sam Jackson Park Rd # L103, Portland, OR 97239-3011 | 2018-09-20 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on JORDANN WALLIS.
| 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.