ANDREA JACKSON (NPI# 1518000140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518000140 |
Entity Type | Individual |
Full Name | ANDREA JACKSON |
Credential | LAC |
Practice Address |
33 Ne Kelly Ave Gresham OR 97030-7539 |
Mailing Address |
2005 Se 159th Pl Vancouver WA 98683-4406 |
Practice Telephone | 5035452393 |
Mailing Telephone | 5035452393 |
Enumeration Date | 2007-02-14 |
Last Update Date | 2011-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171100000X | Acupuncturist | AC01036 | OR | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
Street Address |
33 NE KELLY AVE |
City | GRESHAM |
State | OR |
Zip Code | 97030-7539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609106103 | Miranda Rae Frear | Acupuncturist | 33 Ne Kelly Ave, Gresham, OR 97030-7539 | 2010-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
Taxonomy Code | 171100000X |
Grouping | Other Service Providers |
Classification | Acupuncturist |
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811427818 | David Arthur Valencia | Acupuncturist | 1490 Nw 4th St, Gresham, OR 97030-5306 | 2017-06-13 |
1962776864 | Claire Jeanette Kirkendall | Acupuncturist | 123 E Powell Blvd Ste 206, Gresham, OR 97030-7622 | 2012-02-24 |
1316216229 | Well Within, LLC | Acupuncturist | 709 Ne 5th St, Gresham, OR 97030 | 2011-12-21 |
1922303270 | Addie Harbin Acupuncture LLC | Acupuncturist | 703 Ne Hood Ave, Gresham, OR 97030-5612 | 2011-01-18 |
1760710792 | Stephanie Danielle Worth | Acupuncturist | 831 Nw Council Dr Ste 301, Gresham, OR 97030-3725 | 2009-12-02 |
1609027150 | Barbara E Solomon | Acupuncturist | 25500 Se Stark St Ste 202, Gresham, OR 97030-8328 | 2008-10-02 |
1649454083 | Joseph Arthur Mendez | Acupuncturist | 138 Ne 3rd St, Gresham, OR 97030-7439 | 2007-12-20 |
1437374253 | Joseph John Ripplinger | Acupuncturist | 3005 Ne 18th Ct, Gresham, OR 97030-4328 | 2007-04-16 |
1164558979 | Christina Lambert | Acupuncturist | 1217 Ne Burnside Rd Ste 301, Gresham, OR 97030-5705 | 2007-02-26 |
1982780136 | Michelle Gaulke Blackwood | Acupuncturist | 24850 Se Stark St Suite 200, Gresham, OR 97030-2656 | 2006-10-31 |
Find all providers in GRESHAM |
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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.