J1 MEDICAL CLINIC (NPI# 1639195340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639195340 |
| Entity Type | Organization |
| Organization Name | J1 MEDICAL CLINIC |
| Practice Address |
124 Nw Midland Ave Suite 110 Grants Pass OR 97526-1269 |
| Mailing Address |
Po Box 2196 Grants Pass OR 97528-0276 |
| Practice Telephone | 5414710120 |
| Practice Fax Number | 5414710118 |
| Mailing Telephone | 5414710120 |
| Mailing Fax Number | 5414710118 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHUTOC C TRANDINH (PRESIDENT) |
| Authorized Official Telephone | 5414710120 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD24478 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227321 | 05 |
| Street Address |
124 NW MIDLAND AVE SUITE 110 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964766 | Mark Allen Rondeau | Family Medicine | 124 Nw Midland Ave, Grants Pass, OR 97526-1269 | 2005-07-01 |
| 1154621613 | Judith A King Mn Fnp PC | Nurse Practitioner | 124 Nw Midland Ave, Grants Pass, OR 97526-1269 | 2010-10-29 |
| 1861674780 | Mark Allen Rondeau | Family Medicine | 124 Nw Midland Ave, Ste J, Grants Pass, OR 97526-1269 | 2007-12-03 |
| 1821285669 | Daniel L Moline, Md, PC | Family Medicine | 124 Nw Midland Ave, Suite 108, Grants Pass, OR 97526-1269 | 2007-09-25 |
| 1801821426 | Chutuoc C. Trandinh, M.d., L.L.C. | Specialist | 124 Nw Midland Ave, Suite 109, Grants Pass, OR 97526-1269 | 2006-07-12 |
| 1447242714 | Daniel Moline | Family Medicine | 124 Nw Midland Ave, Grants Pass, OR 97526-1269 | 2005-08-22 |
| 1093715930 | Carol Thomas | Nurse Practitioner | 124 Nw Midland Ave, Ste J, Grants Pass, OR 97526-1269 | 2005-07-21 |
| 1497754329 | Jeri Pairish-lack | Nurse Practitioner | 124 Nw Midland Ave, Ste J, Grants Pass, OR 97526-1269 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873819 | Jacquelyn Hutchings Fnp, LLC | Clinic/Center | 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526-6009 | 2019-10-25 |
| 1891347415 | Northwest Family Practice LLC | Clinic/Center | 1619 Nw Hawthorne Ave Ste 101, Grants Pass, OR 97526-6008 | 2019-07-13 |
| 1659841153 | Laurie Otte, Msn, Fnp, P.C. | Clinic/Center | 1100 Ne 7th St Ste C, Grants Pass, OR 97526-1415 | 2018-11-28 |
| 1306207006 | Rumrey Family Practice LLC | Clinic/Center | 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049 | 2016-03-09 |
| 1952708422 | Options for Southern Oregon | Clinic/Center | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2014-12-01 |
| 1619286879 | Utah Weight Loss & Natural Hormone Clinic | Clinic/Center | 1378 Sw David Dr, Grants Pass, OR 97527-6429 | 2010-10-05 |
| 1124351002 | Karen Joyce Hoskins Msn/fnp PC | Clinic/Center | 1100 Ne 7th St Ste C, Grants Pass, OR 97526-1415 | 2009-09-10 |
| 1588739130 | Lisa Michelle Callahan | Clinic/Center | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
| 1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on J1 MEDICAL CLINIC.
| 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.