MRS. JENNIFER MARIE KRAHN (NPI# 1548589625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548589625 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE KRAHN |
| Other Name | MS. JENNIFER MARIE KRAUS |
| Credential | PA-C |
| Practice Address |
9290 Se Sunnybrook Blvd Suite 120 Clackamas OR 97015-6899 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032152110 |
| Practice Fax Number | 5032152115 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
9290 SE SUNNYBROOK BLVD SUITE 120 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-6899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639163447 | Randall D Gore | Internal Medicine | 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015-6899 | 2005-09-07 |
| 1134660558 | Kelcey Chilcott | Nurse Practitioner | 9290 Se Sunnybrook Blvd, 200, Clackamas, OR 97015-6899 | 2017-03-17 |
| 1922451103 | Mackenna Marie Simpson | Physician Assistant | 9290 Se Sunnybrook Blvd, #120, Clackamas, OR 97015-6899 | 2016-07-22 |
| 1669844809 | Mary Steers | Psychologist | 9290 Se Sunnybrook Blvd, Ste 120, Clackamas, OR 97015-6899 | 2015-10-27 |
| 1952771008 | Danielle Marie Hastings | Nurse Practitioner | 9290 Se Sunnybrook Blvd, #200, Clackamas, OR 97015-6899 | 2015-10-01 |
| 1225422165 | Olivia Marie Gordon | Counselor | 9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-6899 | 2015-03-27 |
| 1053716621 | Michelle Shepherd Combs | Psychologist | 9290 Se Sunnybrook Blvd, Clackamas, OR 97015-6899 | 2014-10-24 |
| 1609298967 | Providence Health & Services - Oregon | Clinic/Center | 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015-6802 | 2014-01-06 |
| 1790107050 | Providence Health & Services - Oregon | Clinic/Center | 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015-6802 | 2014-01-06 |
| 1730529629 | Jennifer Joan Beemer | Nurse Practitioner | 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015-6802 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942276969 | Jeanette L. Tanega | Physician Assistant | 10100 Se Sunnyside Rd, Mt. Talbert Medical Office, Clackamas, OR 97015-8970 | 2006-02-28 |
| 1013268200 | Lionel P Marx | Physician Assistant | 9800 Se Sunnyside Road, Kaiser Permanente, Clackamas, OR 97015-2156 | 2012-09-27 |
| 1477678100 | Kristen Diane Perry | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-03-20 |
| 1477685022 | Claudio Rogerio Lima | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-03-09 |
| 1437241460 | Cindy Lee Quale | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-28 |
| 1346340106 | Linda Darling Onheiber | Physician Assistant | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-22 |
| 1023121118 | Dale Fossati | Physician Assistant | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-08-16 |
| 1740204627 | Aubrey Anne Joslin | Physician Assistant | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
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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.