ALLAN RUCKER


Address: 1003 E Main St Ste 104, Medford, OR 97504-7140
Phone: 5417791282

ALLAN RUCKER (NPI# 1346697687) 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) 1346697687
Entity Type Individual
Full Name ALLAN RUCKER
Practice Address 1003 E Main St Ste 104
Medford
OR 97504-7140
Practice Telephone 5417791282
Mailing Telephone 5417791282
Enumeration Date 2016-05-17
Last Update Date 2016-05-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1003 E MAIN ST STE 104
City MEDFORD
State OR
Zip Code 97504-7140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467764134 Elizabeth Noami Long Counselor 1003 E Main St Ste 104, Medford, OR 97504 2010-07-09
1093358194 Leticia Parra Aguilar Peer Specialist 1003 E Main St Ste 104, Medford, OR 97504-7140 2019-10-21
1578113791 Kim Oveson Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2019-09-19
1841786555 Shelaine M Quall Peer Specialist 1003 E Main St Ste 104, Medford, OR 97504-7140 2018-07-05
1770099467 Zoe Ariel Rossing Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2017-12-18
1174077978 Christine Mason Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-08-09
1548617889 Jackie M Jones Counselor 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-17
1700233087 Anne Daugherty Registered Nurse 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-17
1326495607 Nicole Elliott Registered Nurse 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-17
1366899734 Deana Carvalho Personal Emergency Response Attendant 1003 E Main St Ste 104, Medford, OR 97504-7140 2016-05-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
Find all providers in zip 97504

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265073282 Brandon Wade Orr Peer Specialist 611 W 11th St Apt 2, Medford, OR 97501-3572 2019-10-01
1558829358 Robert Crawford Peer Specialist 221 W Main St # B13, Medford, OR 97501-2728 2019-03-11
1063977858 Hayley Jo Burns Peer Specialist 1362 Garfield St, Medford, OR 97501-3979 2019-02-05
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1902288871 Kelly Burrows Peer Specialist 817 N Central Ave, Suite C, Medford, OR 97501-5840 2015-06-26
1396351730 Dana Alexzandria Bogdanove Peer Specialist 140 S Holly St, Medford, OR 97501-3113 2020-09-21
1609493873 Heather Marie Getz Peer Specialist 200 Beatty St, Medford, OR 97501-5811 2020-07-02
1508483405 Justin Karl Sacco Peer Specialist 140 S Holly St, Medford, OR 97501-3113 2020-06-26
1275156564 Mayela Villa Peer Specialist 140 S Holly St, Medford, OR 97501-3113 2020-05-21
1427686021 Richard Joseph Mccleary Peer Specialist 200 Beatty St, Medford, OR 97501-5811 2020-03-30
Find all providers in MEDFORD

Competitor

Search similar providers

City MEDFORD
Zip Code 97504

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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