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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD12772 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
13007 NE GLISAN ST |
City | PORTLAND |
State | OR |
Zip Code | 97230-2545 |
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 |
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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 Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
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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.