JESSICA CECILIA SERRANO (NPI# 1326330572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326330572 |
| Entity Type | Individual |
| Full Name | JESSICA CECILIA SERRANO |
| Credential | MD |
| Practice Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Practice Telephone | 5033460640 |
| Mailing Telephone | 5034185700 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD182325 | OR | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD182325 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017154 | Jessica Serrano | Social Worker | 269 Moore St, Chicopee, MA 01013-3400 | 2018-09-18 |
| 1275159865 | Jessica Serrano | Nurse Practitioner | 4238 Auburn Way N, Auburn, WA 98002-1311 | 2020-06-19 |
| 1689133712 | Jessica Serrano | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2019-03-18 |
| 1518436922 | Jessica Nicole Serrano I | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2018-11-14 |
| 1215416904 | Jessica Serrano | Licensed Vocational Nurse | 3315 Marquart St Ste 209, Houston, TX 77027-6027 | 2018-08-13 |
| 1932614252 | Jessica Serrano | Case Manager/Care Coordinator | 98 E 4th St, New York, NY 10003-9001 | 2017-12-08 |
| 1497111496 | Jessica Caitlyn Serrano | Nurse Practitioner | 27700 Northwest Fwy Ste 310, Cypress, TX 77433-6767 | 2016-01-06 |
| 1235364241 | Jessica Serrano | Dentist | 1594 Woodlark Ct, Chula Vista, CA 91911-5321 | 2009-05-19 |
| Street Address |
3181 SW SAM JACKSON PARK RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506301 | Jerris Robert Hedges | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 | 2005-05-31 |
| 1114528486 | Nathan Stencel | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-11-04 |
| 1073113064 | Evan Mitchell | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-28 |
| 1629678834 | Vanessa Davie | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-27 |
| 1952901480 | Jackie Kim Sharpe | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-26 |
| 1922607530 | Leah Snyder | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-23 |
| 1932708740 | Blake Beneville | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-22 |
| 1154920833 | Isabelle Nguyen | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-22 |
| 1124627054 | Musah N Iddrisu | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-21 |
| 1386242105 | Wenelia Baghoomian | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780760785 | Julie K O'toole | Pediatrics | 3530 N Vancouver Ave Ste 400, Portland, OR 97227-1798 | 2006-10-31 |
| 1649365016 | Stephen S. Digiovanni | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2006-10-03 |
| 1669488268 | Clifford Wayne Sells | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1922036292 | Geraldine Kempler | Pediatrics | 9555 Sw Barnes Rd, Suite 270, Portland, OR 97225-6663 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728769 | Sandra A. Vilhauer, M.d., P.C. | Pediatrics | 5920 Ne Ray Cir Ste 220, Hillsboro, OR 97124-6313 | 2019-03-06 |
| 1588609853 | Barbara Sniffen | Pediatrics | 1465 Ne 7th St, Grants Pass, OR 97526-1303 | 2006-06-19 |
| 1588902902 | Olson Pediatric Clinic, LLC | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2013-01-18 |
| 1760647705 | Robert L Velarde | Pediatrics | 995 Willagillespie Rd, #100, Eugene, OR 97401-2186 | 2008-07-18 |
| 1629135926 | Kevin Francis Wade | Pediatrics | 1219 Sw 4th Ave, Ontario, OR 97914-4566 | 2007-01-03 |
| 1659442960 | Eugene Pediatric Associates LLC | Pediatrics | 995 Willagillespie Rd, Suite 100, Eugene, OR 97401-2186 | 2006-11-10 |
| 1306873591 | Philip G Miller | Pediatrics | 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124-9224 | 2006-06-26 |
| 1700830379 | Paul Anthony Campagna | Pediatrics | 600 Nw 11th St, E37, Hermiston, OR 97838-8602 | 2006-05-19 |
| 1659343341 | Pilar A Bradshaw | Pediatrics | 3377 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-06 |
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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.