JESSICA CLARK (NPI# 1528690906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528690906 |
| Entity Type | Individual |
| Full Name | JESSICA CLARK |
| Practice Address |
343 N Main Ave Gresham OR 97030-7246 |
| Practice Telephone | 5033294838 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| 1740449719 | Jessica Lynn Clark | Dermatology | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2008-06-05 |
| Street Address |
343 N MAIN AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7246 |
| 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 | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971109 | Micaela Lopez | Doula | 3240 Se 1st St Apt 1, Gresham, OR 97080-1418 | 2019-09-11 |
| 1639722085 | Linda Gail Bennett | Doula | 620 Nw 8th St, Gresham, OR 97030-6935 | 2019-07-24 |
| 1285960575 | Rhonda L Davis | Doula | 3149 Sw Emerald Ave, Gresham, OR 97080-5460 | 2009-10-21 |
| 1295389674 | Sandra Helena Hernandes | Doula | 620 Nw 8th St, Gresham, OR 97030-6935 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659671 | Lindsay Marie Thomas | Doula | 4503 Se 66th Ave, Portland, OR 97206-4501 | 2020-11-04 |
| 1053912402 | Rachel Elizabeth Benak | Doula | 4602 Se Harrison St, Milwaukie, OR 97222-5222 | 2020-11-03 |
| 1467052084 | Jenessa Garrett | Doula | 1515 Sw Montgomery St, Portland, OR 97201-2558 | 2020-11-01 |
| 1518566413 | Ghada Barbour | Doula | 3436 Nw Coronado St, Corvallis, OR 97330-4694 | 2020-10-21 |
| 1093314171 | Miranda Tasker | Doula | 636 11th Ave Sw, Albany, OR 97321-2506 | 2020-10-20 |
| 1699374926 | Jessica Ford | Doula | 3652 Se Stark St Apt 9, Portland, OR 97214-3161 | 2020-10-19 |
| 1356956742 | Erin Caassidy Stanton | Doula | 21872 S Mija Ln, Estacada, OR 97023-9607 | 2020-09-11 |
| 1669086583 | Kathryn Mathew | Doula | 2743 Ne 16th Ave, Portland, OR 97212-3307 | 2020-09-08 |
| 1457965568 | Jill Pullen | Doula | 14345 Nw Hunters Dr, Beaverton, OR 97006-5658 | 2020-09-04 |
| 1235743626 | Jaime Ellen York | Doula | 17160 Merganser Dr, Bend, OR 97707-2099 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA CLARK.
| 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.