MRS. MELINDA ANN JACKSON


Address: 13007 Ne Glisan St, Portland, OR 97230-2545
Phone: 5032156556

MRS. MELINDA ANN JACKSON (NPI# 1558330647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558330647
Entity Type Individual
Full Name MRS. MELINDA ANN JACKSON
Other Name DR. MELINDA ANN LEE
Practice Address 13007 Ne Glisan St
Portland
OR 97230-2545
Practice Telephone 5032156556
Practice Fax Number 5032150685
Mailing Telephone 5032156556
Mailing Fax Number 5032150685
Enumeration Date 2006-03-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
MD12772 OR Allopathic & Osteopathic Physicians

Other Providers MELINDA JACKSON

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1972750073 Melinda W. Jackson Occupational Therapist 345 Shoreline Cir, Newnan, GA 30263-5940 2008-08-20
1528148483 Melinda Mullins Jackson Internal Medicine 701 Northside Drive, Central Mississippi Residential Center, Newton, MS 36345-2361 2006-10-16
1558332734 Melinda Brown Jackson Family Medicine 4144 Wyntree Dr, Newburgh, IN 47630-2521 2006-01-27
1629460472 Melinda Ethel Jackson Nurse's Aide 4300 Sw 13th St, Gainesville, FL 32608-4006 2015-03-02
1518901586 Melinda Lea Jackson Registered Nurse Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 98431-0001 2006-06-16

Office Location

Street Address 13007 NE GLISAN ST
City PORTLAND
State OR
Zip Code 97230-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497757447 Luis Felipe Rodriguez Internal Medicine 13007 Ne Glisan St, Portland, OR 97230-2545 2005-08-10
1457995292 Emily Ballou Licensed Practical Nurse 13007 Ne Glisan St, Portland, OR 97230-2545 2019-11-05
1407499577 Melissa Smith Registered Nurse 13007 Ne Glisan St, Portland, OR 97230-2545 2019-10-22
1942773114 Hannah Justine Heller Social Worker 13007 Ne Glisan St, Portland, OR 97230-2545 2019-01-09
1396210100 Anne Wallis Registered Nurse 13007 Ne Glisan St, Portland, OR 97230-2545 2018-10-08
1003397449 Linda Marie Maier Registered Nurse 13007 Ne Glisan St, Portland, OR 97230-2545 2018-08-23
1861906497 Venae Nolan Rodriguez Social Worker 13007 Ne Glisan St, Portland, OR 97230-2545 2017-11-17
1568973295 Torbari Ngia Gbaanador Registered Nurse 13007 Ne Glisan St, Portland, OR 97230-2545 2017-10-20
1215470331 Dianne Marie Denotter Dietitian, Registered 13007 Ne Glisan St, Portland, OR 97230-2545 2016-11-21
1851849368 Cheryl Ann Roth Physical Therapy Assistant 13007 Ne Glisan St, Portland, OR 97230-2545 2016-09-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687233 Timisha K Wilson Social Worker 12505 Ne Halsey St, Portland, OR 97230 2018-07-30
1356828768 Sally Gail Logan Pharmacist 5725 Ne 138th Avenue, Portland, OR 97230 2018-07-27
1063937951 Marley Elizabeth Small Counselor 1507 Ne 122nd Ave., Portland, OR 97230 2017-08-11
1447771316 Shadab Nasreen Aijazi Pathology 5220 Ne 122nd Avenue, Portland, OR 97230 2017-06-30
1104378199 Derek Andrus Pharmacist 5717 Nw 138th, Portland, OR 97230 2016-10-26
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1649622473 Sara Mcgroarty Counselor 17710 Ne Halsey Street, Portland, OR 97230 2016-07-05
1346699949 Steven D Stanton Counselor 1022 Ne 181st Ave, C1, Portland, OR 97230 2016-06-06
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
Find all providers in zip 97230

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093916470 Kellie Rooney Foster Internal Medicine 2710 Nw Vaughn St, Suite 160, Portland, OR 97210-5344 2007-05-31
1447310859 Karen Kruse Internal Medicine 8200 Se Barbara Welch Rd, Portland, OR 97236-5335 2006-12-08
1083729214 Stephen Arnold Ebert Internal Medicine 2701 Nw Vaughn St., Suite 160, Portland, OR 97201 2006-08-20
1609892736 Paul Gowen Internal Medicine 3635 Ne Alameda St, Portland, OR 97212-1812 2006-07-14
1669418810 Douglas Reed Grossnickle Internal Medicine 10373 Ne Hancock, Suite 219, Portland, OR 97220 2006-06-22
1457324949 George Goodstein Internal Medicine 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 2006-02-07
1497757447 Luis Felipe Rodriguez Internal Medicine 13007 Ne Glisan St, Portland, OR 97230-2545 2005-08-10
1518372606 Paul R Porter Md Internal Medicine 934 S Broadway St, Ste 3, Portland, TN 37148-1700 2014-06-26
1093128571 Lisa Kendell Sanders Internal Medicine 5050 Ne Hoyt St Ste 540, Portland, OR 97213 2014-06-03
1457642373 Sandhya Venkata Srikantom Internal Medicine 3710 Sw Us Veterans Hospital Rd, Attn P3med, Portland, OR 97239-2964 2011-04-26
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97230

Improve Information

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Dataset Information

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.

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