JACQUELINE T. FARLESS (NPI# 1447420674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447420674 |
| Entity Type | Individual |
| Full Name | JACQUELINE T. FARLESS |
| Credential | L.M.T. |
| Practice Address |
5616 Lake Shore Dr Selma OR 97538-9711 |
| Mailing Address |
Po Box 714 Selma OR 97538-0714 |
| Practice Telephone | 5416599437 |
| Practice Fax Number | 5415974749 |
| Mailing Telephone | 5415974749 |
| Mailing Fax Number | 5415974749 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 7399 | OR | Other Service Providers |
| Street Address |
5616 LAKE SHORE DR |
| City | SELMA |
| State | OR |
| Zip Code | 97538-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871810580 | Lacy M Miller | Registered Nurse | 1874 Lakeshore Dr., Selma, OR 97538 | 2010-04-21 |
| 1912462144 | Earth Song Medical Practice LLC | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538 | 2019-02-01 |
| 1730441023 | Elbert C Collins Md | Obstetrics & Gynecology | 18173 Redwood Hwy, Selma, OR 97538 | 2012-06-12 |
| 1245531664 | Peggie Meredith Harris | Physical Therapist | 18255 Redwood Hwy, Selma, OR 97538 | 2010-11-17 |
| 1003128729 | Barbara Braunstein | Massage Therapist | 18173 Redwood Hwy, Selma, OR 97538 | 2010-07-10 |
| 1861681967 | Katherine Mechling | Clinic/Center | 18173 Redwood Hwy, Selma, OR 97538-0847 | 2007-10-15 |
| 1588046064 | Daniel Hagerty | Nurse Practitioner | 18173 Redwood Hwy, Po Box 847, Selma, OR 97538-1257 | 2015-06-22 |
| 1386740736 | Kay Nielson Pta LLC | Clinic/Center | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2006-09-15 |
| 1063653046 | Kay Marie Nielson | Massage Therapist | 18255 Redwood Hwy, Selma, OR 97538-9729 | 2009-03-20 |
| 1699767103 | Katherine Mechling | Family Medicine | 18173 Redwood Hwy, Selma, OR 97538-9732 | 2005-08-19 |
| Find all providers in zip 97538 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108615 | Chala Chiri | Contractor | 2498 Aldine Ct Ne, Keizer, OR 97303-1905 | 2020-06-16 |
| 1215568399 | Rebecca Callahan | Contractor | 16979 Sw Steele Way, Beaverton, OR 97006-8935 | 2020-01-28 |
| 1225530512 | Francisco Garcia | Contractor | 18195 Webster Rd Apt 4, Gladstone, OR 97027-1455 | 2018-03-02 |
| 1316469307 | Habtemariam Ketema | Contractor | 16215 Se Webster Rd, Milwaukie, OR 97267-5254 | 2017-07-11 |
| 1720529100 | Morgan Leder | Contractor | 12356 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 | 2017-03-17 |
| 1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
| 1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
| 1033661251 | Juli Bossert | Contractor | 2305 Ashland St Ste C443, Ashland, OR 97520-3777 | 2016-11-04 |
| 1912459488 | Jin Hwa Chung | Contractor | 1649 Sw 173rd Ter, Beaverton, OR 97003-4262 | 2016-10-31 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 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.