MR. JAY EDWARD HARRIS (NPI# 1407160286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407160286 |
| Entity Type | Individual |
| Full Name | MR. JAY EDWARD HARRIS |
| Credential | RN, MSN |
| Practice Address |
1058 Ne 12th St Bend OR 97701-4412 |
| Practice Telephone | 5415303066 |
| Mailing Telephone | 5415303066 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
200341738 | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON NURSING LICENSE | 200341738 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548485337 | Jay Allen Harris | Dentist | 2570 Brookstone Centre Pkwy Ste 200, Columbus, GA 31904 | 2007-04-16 |
| 1851438709 | Jay M. Harris | Dentist | 3815 Washington Pkwy, Idaho Falls, ID 83404-7591 | 2007-01-31 |
| 1174673800 | Jay Jason Harris | Dentist | 220 Christiana Medical Center, Newark, DE 19702-1652 | 2007-01-12 |
| 1104877646 | Jay Harris | Radiology | 44 Binney Street Dana 1622, Dana Farber Cancer Institute Department of Radiation On, Boston, MA 02115 | 2006-05-12 |
| 1538717251 | Jay Christopher Harris | General Practice | 1545 Forest Cove Dr, Chesapeake, VA 23323-5734 | 2019-08-27 |
| 1295991503 | Jay Evans Harris | Specialist | Stadium Rd, Student Health Service, Stony Brook, NY 11794-0001 | 2008-08-06 |
| Street Address |
1058 NE 12TH ST |
| City | BEND |
| State | OR |
| Zip Code | 97701-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972814028 | Telecare Mental Health Services of Oregon, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1058 Ne 12th St, Bend, OR 97701-4412 | 2010-06-23 |
| 1770075475 | Amy Millikin | Counselor | 1058 Ne 12th St, Bend, OR 97701-4412 | 2018-05-30 |
| 1174921589 | Noel Dean | Counselor | 1058 Ne 12th St, Bend, OR 97701-4412 | 2014-12-17 |
| 1073895892 | Jessica Hutson | Counselor | 1058 Ne 12th St, Bend, OR 97701-4412 | 2011-09-16 |
| 1912291477 | Sara Rizzo | Counselor | 1058 Ne 12th St, Bend, OR 97701-4412 | 2011-06-01 |
| 1609171651 | Katie King | Counselor | 1058 Ne 12th St, Bend, OR 97701-4412 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689125353 | Deborah Chase | Registered Nurse | 1340 Nw Wall St, Suite 150, Bend, OR 97703-1985 | 2016-10-18 |
| 1851423123 | Jeanie E Young | Registered Nurse | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073098943 | Dixie Hofer | Registered Nurse | 7380 Sw 163rd Pl, Beaverton, OR 97007-6365 | 2018-09-26 |
| 1003316183 | Jason J Johnson | Registered Nurse | 6464 Sw Borland Rd Ste C1, Tualatin, OR 97062-8856 | 2018-02-15 |
| 1629585484 | Denise Ellen Foster | Registered Nurse | 5225 Sw Dover Ln, Portland, OR 97225-1022 | 2018-01-03 |
| 1578945473 | Hope Anderson | Registered Nurse | 710 Idylwood Dr Se, Salem, OR 97302-3906 | 2015-06-26 |
| 1023419793 | Teresa Gayle Parsons | Registered Nurse | 151 W 7th Ave Ste 263, Eugene, OR 97401-2676 | 2014-09-11 |
| 1679998256 | Beatrice Berry | Registered Nurse | 1175 E Main St Ste 2f, Medford, OR 97504-7457 | 2014-02-19 |
| 1548510902 | Karen A Madden | Registered Nurse | 4531 Se Belmont Suite 100, Portland, OR 97215 | 2012-09-13 |
| 1962793463 | Pamela Kay Stuver | Registered Nurse | 151 West 7th Avenue, Room 263, Lane County Public Health, Eugene, OR 97401-2676 | 2011-05-02 |
| 1689850190 | Ardith Louise Conway | Registered Nurse | 2305 Se Washington St Ste 105, Milwaukie, OR 97222-7647 | 2008-01-14 |
| 1700401320 | Christopher Michael Manuel | Registered Nurse | 2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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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.