JENNIFER LIANA SIEGEL (NPI# 1568002392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568002392 |
| Entity Type | Individual |
| Full Name | JENNIFER LIANA SIEGEL |
| Practice Address |
1312 Sw Washington St Portland OR 97205-2327 |
| Mailing Address |
Po Box 3007 Portland OR 97208-3007 |
| Practice Telephone | 5035351151 |
| Mailing Telephone | 5035351151 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | THW000003996 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033454731 | Jennifer L Siegel | Nurse Practitioner | 445 S Lawrence Blvd, Suite A, Keystone Heights, FL 32656-9222 | 2012-12-06 |
| 1336421213 | Jennifer Siegel | Pharmacist | 1 Penn Center, 1617 Jfk Blvd, Philadelphia, PA 19103 | 2011-09-15 |
| 1104809268 | Jennifer Suzanne Siegel | Nurse Practitioner | 2703 82nd St, Lubbock, TX 79423-1429 | 2005-11-22 |
| 1255565594 | Jennifer Rose Siegel | Internal Medicine | 801 Massachusetts Ave, Crosstown 6b, Boston, MA 02118-2605 | 2009-05-13 |
| 1114972536 | Jennifer A Siegel | Emergency Medicine | 2070 Century Park E, Los Angeles, CA 90067-1907 | 2006-05-24 |
| 1174511083 | Jennifer Rodgers Siegel | Genetic Counselor, MS | 300 Randall Rd, Delnor-community Hospital Dept of Genetic, Geneva, IL 60134-4200 | 2005-10-13 |
| Street Address |
1312 SW WASHINGTON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992844203 | Tim C Gilles | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2007-02-05 |
| 1144836362 | Ellen Corinne Dungy | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-09-22 |
| 1568077352 | Kori Hill | Student in an Organized Health Care Education/Training Program | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-09-09 |
| 1013521673 | Claire Whigham | Marriage & Family Therapist | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-09-01 |
| 1871105775 | Haylee Bush | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-08-20 |
| 1780206615 | Fikirte Asefa Belew II | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-14 |
| 1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
| 1366072001 | Shnonya Holiman | Peer Specialist | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-22 |
| 1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
| 1346880614 | Brandon James Pettit | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407388176 | First Class Therapy | Prevention Professional | 114 Faculty Hill Rd, Portland, TN 37148-4257 | 2017-03-31 |
| 1376083121 | Caroline Jean Caulfield | Prevention Professional | 14232 Se Mill Ct, Portland, OR 97233-2370 | 2017-02-27 |
| 1558897181 | Christina Evans Gagosian | Prevention Professional | 10300 Sw Greenburg Rd, Suite 410, Portland, OR 97223-5410 | 2017-05-02 |
| 1558892471 | Kelly Mcmullen | Prevention Professional | 819 Se Morrison St, Suite 140, Portland, OR 97214-6307 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598299729 | Sarah Rebecca Miller | Prevention Professional | 16493 Bluewood Pl # 5, La Pine, OR 97739-7526 | 2017-04-13 |
| 1205446663 | Vivian June Shaw | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-31 |
| 1629687876 | Rachel Marie Hoptowit | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-23 |
| 1841809134 | Nicole Grace Whiskeyjack | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-23 |
| 1750864229 | Abelardo Lozano | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2018-09-11 |
| 1194260927 | Forwardstride | Prevention Professional | 18218 Sw Horse Tale Dr, Beaverton, OR 97007-9789 | 2017-01-03 |
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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.