MR. JONATHAN HUBERT AEBISCHER (NPI# 1639546203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639546203 |
Entity Type | Individual |
Full Name | MR. JONATHAN HUBERT AEBISCHER |
Credential | FNP |
Practice Address |
19220 Mcloughlin Blvd Gladstone OR 97027-2642 |
Mailing Address |
2818 Sw 1st Ave Apartment B Portland OR 97201-4718 |
Practice Telephone | 5036552404 |
Practice Fax Number | 5036551581 |
Mailing Telephone | 5033488379 |
Enumeration Date | 2015-08-30 |
Last Update Date | 2019-08-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201505929NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2818 Sw 1st Ave, Apartment B, Portland, OR 972014718 | 5036859165 |
Street Address |
19220 MCLOUGHLIN BLVD |
City | GLADSTONE |
State | OR |
Zip Code | 97027-2642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386650315 | Tanya Lynn Wayne | Physician Assistant | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2006-07-31 |
1558901413 | Portland Adventist Medical Center | Family Medicine | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2020-01-08 |
1801191689 | Margaret Lee Mahlik | Social Worker | 19220 Mcloughlin Blvd, Gladstone, OR 97027 | 2011-01-25 |
1952443087 | Cynthia Stone Hiles | Counselor | 19220 Mcloughlin Blvd, Gladstone, OR 97027 | 2007-02-13 |
1801955844 | Su Lin Josephine Ritchie | Nurse Practitioner | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2006-12-06 |
1063428951 | Jeffrey William Young | Family Medicine | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484270 | Patricia Ann Combs | Massage Therapist | 255 E. Dartmouth St., Gladstone, OR 97027 | 2020-07-09 |
1376036764 | Gladstone Smiles Dentistry PC | Dentist | 20140 Mcloughlin Blvd, Gladstone, OR 97027 | 2018-06-11 |
1194111344 | Kacey Danyelle Dahmen | Behavioral Analyst | 890 Se 82nd Drive, Gladstone, OR 97027 | 2015-04-14 |
1255738092 | Western Psychological and Counseling Services PC | Community/Behavioral Health | 870 Se 82nd, Gladstone, OR 97027 | 2014-11-21 |
1548678097 | James Lee Briscoe | Counselor | 870 Se 82nd Dr., Bldg. C, Gladstone, OR 97027 | 2014-07-29 |
1003164690 | Chloe Elizabeth Lee-zorn | Psychologist | 890 Se 82nd, Gladstone, OR 97027 | 2012-08-29 |
1700187408 | Leonard Cogan | Counselor | 887 82nd Dr, Bldg C, Gladstone, OR 97027 | 2010-11-11 |
1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
1093971640 | Western Psychological and Counseling Services PC | Counselor | 9670 Sw Beaverton-hillsdale Hwy, Beaverton, OR 97027 | 2008-08-04 |
1578606935 | Myron John Welbes | Counselor | 17663 Se 82nd Drive, Gladstone, OR 97027 | 2007-02-15 |
Find all providers in zip 97027 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780200022 | Andrew Anderson | Nurse Practitioner | 208 Michigan Ave, Gladstone, MI 49837-1914 | 2020-06-23 |
1992210389 | Molly Winder | Nurse Practitioner | 5601 Ne Antioch Rd Ste 2, Gladstone, MO 64119-2375 | 2017-12-06 |
1053667550 | Dlp Marquette Physician Practices Inc | Nurse Practitioner | 2002 Minneapolis Ave, Gladstone, MI 49837-2027 | 2012-08-02 |
1952879025 | Nicole Marie Madalinski | Nurse Practitioner | 2001 Minneapolis Ave Ste D, Gladstone, MI 49837-2060 | 2018-11-07 |
1306346093 | Jamie Werner | Nurse Practitioner | 5601 Ne Antioch Rd, Gladstone, MO 64119-2300 | 2018-02-19 |
1275992208 | Meritas Health Corporation | Nurse Practitioner | 7117 N Prospect Ave, Gladstone, MO 64119-1123 | 2016-02-18 |
1003207820 | Mary Kathryn Allinder | Nurse Practitioner | 101 Nw Englewood Rd, Gladstone, MO 64118-4054 | 2015-02-16 |
1366629529 | Tonya Kay Inman | Nurse Practitioner | 18911 Portland Ave, Gladstone, OR 97027-1630 | 2008-01-29 |
1609996867 | Dixie Sue Manroe | Nurse Practitioner | 6717 N Oak Trfy, Gladstone, MO 64118-3346 | 2007-03-30 |
1801955844 | Su Lin Josephine Ritchie | Nurse Practitioner | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2006-12-06 |
Find all providers in GLADSTONE |
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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.