JESSE RAY HALL (NPI# 1588068522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588068522 |
| Entity Type | Individual |
| Full Name | JESSE RAY HALL |
| Credential | MS, RDN, CD |
| Practice Address |
735 Sw 158th Ave #160 Beaverton OR 97006-4952 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 5035970035 |
| Practice Fax Number | 5037265490 |
| Mailing Telephone | 6302962222 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2017-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 10179690 | OR | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | DI60506429 | WA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760798730 | Jesse Park Hall | Dentist | Usa Dental Activity, B 2817 Reilly Road, Fort Bragg, NC 28310-7302 | 2010-08-27 |
| 1780867127 | Jesse C Hall | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2007-12-07 |
| 1831152412 | Jesse Mcrae Hall | Physician Assistant | 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2006-04-06 |
| Street Address |
735 SW 158TH AVE #160 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841265287 | Kent Tsuruo Morimatsu | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2006-02-21 |
| 1720533151 | Katherine A Haka | Physical Therapist | 735 Sw 158th Ave, Ste 160, Beaverton, OR 97006 | 2016-08-15 |
| 1629447925 | Steven Yeong-soo Park | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2015-09-17 |
| 1033514211 | Antonio Mario D'ovidio | Physical Therapist | 735 Sw 158th Ave, Ste 160, Beaverton, OR 97006-4952 | 2014-10-29 |
| 1497185193 | Jon Burton Van Den Boogaard | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2013-11-15 |
| 1093155129 | Elicia M Hickey | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2013-07-03 |
| 1922340736 | Matthew R Dunn | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2013-03-19 |
| 1639450281 | Heidi Nicole Hope | Massage Therapist | 735 Sw 158th Ave, Ste 160, Beaverton, OR 97006-4952 | 2011-09-08 |
| 1225344468 | Melissa Cox | Physical Therapist | 735 Sw 158th Ave, 160, Beaverton, OR 97006-4952 | 2010-08-25 |
| 1285866590 | Andrea Patricia Bulat | Physical Therapist | 735 Sw 158th Ave, Ste 160, Beaverton, OR 97006-4952 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669750642 | Angela Briana Coate-hermes | Dietitian, Registered | 4530 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2011-07-25 |
| 1306336078 | Sarah Larimer | Dietitian, Registered | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-05-17 |
| 1205130382 | Andrea Q Vintro | Dietitian, Registered | 735 Sw 158th Ave # 160, Beaverton, OR 97006-4952 | 2011-01-04 |
| 1467617019 | Eileen Marie Sparks | Dietitian, Registered | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2008-07-23 |
| 1417088998 | Susan Gangler Landgren | Dietitian, Registered | 15950 Sw Millikan Way, Beaverton, OR 97006 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1699375394 | Ashlyn Hiserote | Dietitian, Registered | 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 | 2020-10-30 |
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1700484805 | Christine Charlotte Madzik | Dietitian, Registered | 655 E 43rd Ave, Eugene, OR 97405-3928 | 2020-10-12 |
| 1578160784 | Kristen Bowman | Dietitian, Registered | 749 Rabbit Run St, Stayton, OR 97383-1697 | 2020-10-01 |
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1275147670 | Karina Ann Inouye | Dietitian, Registered | 13804 Sw Anna Ct, Tigard, OR 97223-2114 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.