JENNIFER LYNN GOODWIN DE MCCLENDON (NPI# 1447217690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447217690 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN GOODWIN DE MCCLENDON |
| Other Name | JENNIFER LYNN MCCLENDON |
| Credential | MD |
| Practice Address |
2935 Sw Cedar Hills Blvd Beaverton OR 97005-1342 |
| Mailing Address |
328 W Main St Fl 2 Hillsboro OR 97123-3967 |
| Practice Telephone | 5033526000 |
| Practice Fax Number | 5033526081 |
| Mailing Telephone | 5033528610 |
| Mailing Fax Number | 5033526081 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD25163 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 126370 | 05 |
| Street Address |
2935 SW CEDAR HILLS BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948276 | Jennifer Beckham Mcelravey | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2005-08-02 |
| 1245723287 | Jennifer Stanislaw | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 | 2018-06-13 |
| 1306336078 | Sarah Larimer | Dietitian, Registered | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-05-17 |
| 1700374527 | Monica Calko | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-04-26 |
| 1861980161 | Gayle Ollinger | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-04-23 |
| 1427560663 | Megan Manley | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2017-10-27 |
| 1649628751 | Margaret Sease | Family Medicine | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2016-05-31 |
| 1144628264 | Juan Gabriel Lopez | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-12-06 |
| 1689092264 | Jason Dukmin Soh | Pediatrics | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-04-01 |
| 1538583471 | Joana Silva | Nurse Practitioner | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1447614805 | Hillary Jenson | Family Medicine | 12345 Sw Horizon Blvd Ste 57a, Beaverton, OR 97007-9475 | 2016-04-11 |
| 1972999720 | Alexandra Werner | Family Medicine | 2725 Sw Cedar Hills Blvd Ste 2a, Beaverton, OR 97005-1344 | 2015-04-08 |
| 1952796468 | Lisa Kipersztok | Family Medicine | 2725 Sw Cedar Hills Blvd, Beaverton, OR 97005-1416 | 2015-04-01 |
| 1912349184 | Robin Sewall | Family Medicine | 17175 Sw Tualatin Valley Hwy Ste B2, Beaverton, OR 97003-4584 | 2013-07-29 |
| 1528224060 | David Barclay Luce | Family Medicine | 20229 Sw Tremont Way, Beaverton, OR 97007-8594 | 2008-08-04 |
| 1801052477 | Nishanie Bisorca | Family Medicine | 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 | 2008-08-04 |
| 1336304138 | Sharon Rose Peterson | Family Medicine | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, OR 97007 | 2008-07-22 |
| 1619980125 | Ezra Azhar | Family Medicine | 3415 Sw 187th Ave, Beaverton, OR 97006-3106 | 2006-08-14 |
| 1083628556 | Gerald Wendal Miller | Family Medicine | 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006 | 2006-07-28 |
| Find all providers in BEAVERTON | ||||
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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.