MS. CAROLA JEAN JENSEN (NPI# 1487757324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487757324 |
| Entity Type | Individual |
| Full Name | MS. CAROLA JEAN JENSEN |
| Credential | CPHT |
| Practice Address |
1775 Thompson Rd Coos Bay OR 97420-2125 |
| Mailing Address |
2592 Fir St North Bend OR 97459-1563 |
| Practice Telephone | 5412698169 |
| Mailing Telephone | 5412698485 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | CPT-0000291 | OR | Pharmacy Service Providers |
| Street Address |
1775 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494757 | Bradley G Titus | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2005-08-17 |
| 1952870230 | Cari Fraley | Clinic/Center | 1775 Thompson Rd, Rehabiliation Department, Coos Bay, OR 97420 | 2018-11-16 |
| 1225511322 | Kylie Webb Tresher Winquist | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-09-13 |
| 1396242863 | Ezgi Ertemin-pearson | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2018-04-10 |
| 1710480397 | Coos Radiosurgery Group LLC | Radiology | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-03-09 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1194247577 | Tara Sprague | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2017-07-07 |
| 1639626724 | Nicole Fennell | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2016-09-06 |
| 1063893402 | Cep America LLC | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2015-06-11 |
| 1770996589 | Anushi Bulumulle | Student in an Organized Health Care Education/Training Program | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649362922 | Karie G Gederos | Pharmacy Technician | 1370 Washington Ave, Coos Bay, OR 97420-1031 | 2006-09-28 |
| 1558523985 | Heather Dawn Mcdonald | Pharmacy Technician | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2008-06-26 |
| 1477739068 | Kathyn Michele Mcintyre | Pharmacy Technician | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2008-01-14 |
| 1023104791 | Kelly Jo Knutson | Pharmacy Technician | 1775 Thompson Road, Coos Bay, OR 97420 | 2006-10-04 |
| 1467545061 | Lynne Marie Gederos | Pharmacy Technician | 1775 Thompson Road, Coos Bay, OR 97420 | 2006-10-02 |
| 1669563003 | Kimberly Michelle Fairbank | Pharmacy Technician | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-09-28 |
| 1467557959 | Rebecca Maria Wilson | Pharmacy Technician | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223356 | Sarah Miller | Pharmacy Technician | 8300 Sw Creekside Pl, Beaverton, OR 97008-8178 | 2020-10-20 |
| 1659991586 | Billy Dakota Medlin | Pharmacy Technician | 53 N 2nd St, Ashland, OR 97520-1889 | 2020-04-21 |
| 1881047553 | Kelli Tompkins | Pharmacy Technician | 2909 Daggett Ave Ste 225, Klamath Falls, OR 97601-7200 | 2016-07-19 |
| 1538550058 | Jinalyn Germond | Pharmacy Technician | 1813 W Harvard Ave Ste 210, Roseburg, OR 97471-2709 | 2015-02-06 |
| 1639443476 | Angela Lynn Mcginley | Pharmacy Technician | 20000 Se Highway 212, Damascus, OR 97089-8717 | 2012-02-24 |
| 1568750990 | Patricia Posteuca | Pharmacy Technician | 2602 Arbor Dr, West Linn, OR 97068-1104 | 2011-07-19 |
| 1487961272 | Peter James | Pharmacy Technician | 1215 Nw 23rd Ave, Portland, OR 97210-2905 | 2010-09-01 |
| 1356514145 | Kirk Thomas Gates | Pharmacy Technician | 12065 Sw Walnut St, Tigard, OR 97223-3033 | 2008-04-11 |
| 1013138338 | Joni Renee Killgore | Pharmacy Technician | 500 Summer St Ne, Salem, OR 97301-1063 | 2007-05-02 |
| 1780707547 | Ronald Johnson I | Pharmacy Technician | 3710 Southwest Us Veterans Hospital Road, Portland, OR 97239 | 2007-04-09 |
| 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.