BARRY A JACOSHENK


Address: 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2516
Phone: 5032248399

BARRY A JACOSHENK (NPI# 1376600049) 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) 1376600049
Entity Type Individual
Full Name BARRY A JACOSHENK
Credential PA-C
Practice Address 1515 Nw 18th Ave
Suite 300
Portland
OR 97209-2516
Practice Telephone 5032248399
Practice Fax Number 5032245661
Mailing Telephone 5032248399
Mailing Fax Number 5032245661
Enumeration Date 2007-01-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA00938 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1515 NW 18TH AVE
SUITE 300
City PORTLAND
State OR
Zip Code 97209-2516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245230952 Leo Francis Quinn Jr. Physical Therapist 1515 Nw 18th Ave, Ste 400, Portland, OR 97209-2515 2005-07-22
1316497928 Orthopedic & Sports Medicine Center of Or LLC Physician Assistant 1515 Nw 18th Ave, #300, Portland, OR 97209-2516 2016-10-06
1588076954 Rose City Physical Therapy Associates, LLC Clinic/Center 1515 Nw 18th Ave, Suite 400, Portland, OR 97209-2516 2014-05-20
1851645121 Suzanne Chi Acupuncturist 1515 Nw 18th Ave, Suite 400, Portland, OR 97209-2516 2012-11-07
1740538115 Genesis Medical Group, LLC. Prosthetic/Orthotic Supplier 1515 Nw 18th Ave, Suite 100, Portland, OR 97209-2516 2012-08-16
1245482280 Northwest Ambulatory Surgery Center LLC Clinic/Center 1515 Nw 18th Ave, Ste 200, Portland, OR 97209-2516 2008-10-22
1225293285 Emily C Nguyen Orthopaedic Surgery 1515 Nw 18th Ave, Ste 300, Portland, OR 97209-2539 2008-07-18
1750420063 Pettygrove Physical Therpay Associates LLC Physical Therapist 1515 Nw 18th Ave, Suite 400, Portland, OR 97123 2007-02-05
1376579631 Justin Robert Thibeault Physician Assistant 1515 Nw 18th Ave, 3rd Floor, Portland, OR 97209-2516 2006-06-25
1235179656 Derek Edward Lamprecht Orthopaedic Surgery 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1396250122 Saron Theresa Sufuentes Physician Assistant 578 Nw Marlborough Ave, Portland, OR 97210-3104 2017-12-01
1952775520 Lauren Govier Physician Assistant 501 N Graham St Ste 415, Portland, OR 97227-2006 2015-11-19
1619346368 Ryan Mcmahon Physician Assistant 3415 Ne 20th Ave, Portland, OR 97212-2416 2015-09-23
1881090033 Sanja Bukarac Physician Assistant 20 Buca Run, Portland, ME 04103-1427 2014-11-17
1194130716 Nicole Lessard Physician Assistant 27 Bramhall St, Portland, ME 04102 2014-06-23
1528499910 Elan Kennedy Physician Assistant 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 2013-12-10
1013161405 Lorraine Walburga Gohman Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2008-11-11
1841472065 Mandy Melissa Williams Physician Assistant 265 N Broadway, Portland, OR 97227-1800 2007-11-29
1063612455 Donald R Noel Physician Assistant 10101 Se Main St Ste 3008, Portland, OR 97216-2458 2007-07-23
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Competitor

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City PORTLAND
Zip Code 97209

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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