JENNIFER LYNN HABADA (NPI# 1699290072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699290072 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN HABADA |
| Credential | LMT |
| Practice Address |
4317 Ne Tillamook St Portland OR 97213-1315 |
| Mailing Address |
4317 Ne Tillamook St. Portland OR 97213 |
| Practice Telephone | 5034939730 |
| Mailing Telephone | 5034939730 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 18127 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4317 NE TILLAMOOK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457419889 | Martin John Codino | Chiropractor | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2006-12-05 |
| 1134751027 | Kristen Renee Mcfarland | Massage Therapist | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2020-02-07 |
| 1144728981 | Jessica Krepel | Massage Therapist | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2018-01-26 |
| 1194101535 | Karolina Pray | Massage Therapist | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2015-08-07 |
| 1851700561 | Jasmin Crump | Massage Therapist | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2014-08-06 |
| 1285066571 | Tauna M Callahan | Specialist | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2013-08-08 |
| 1407146012 | Dorsey Chiropractic, Inc | Chiropractor | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2011-04-15 |
| 1124348560 | Marcus J Dorsey | Chiropractor | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2010-06-08 |
| 1811140130 | Northeast Medical Consultants, PC | Clinic/Center | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2008-10-30 |
| 1902059710 | Gloria Esther Gonzalez | Massage Therapist | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2008-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616422 | Joseph Gorecki | Rehabilitation Practitioner | 3303 S Bond Ave Bldg 115th, Portland, OR 97239-4501 | 2020-10-16 |
| 1235385139 | Maureen Benedict-lee | Rehabilitation Practitioner | 1636 Se Taylor St, Apt. 5, Portland, OR 97214-2678 | 2008-08-11 |
| 1124288840 | Donita Zoe Diamata | Rehabilitation Practitioner | 10150 Se Ankeny St Ste 201a, Portland, OR 97216-2369 | 2008-06-16 |
| 1275131682 | Suzanne Lynn Groth | Rehabilitation Practitioner | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-10-16 |
| 1205261294 | Genetthia Tashawna Green | Rehabilitation Practitioner | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2013-09-09 |
| 1821116641 | Valarie Anette Jones | Rehabilitation Practitioner | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992056857 | Beth W. Mantis | Rehabilitation Practitioner | 29544 Se Heiple Rd, Eagle Creek, OR 97022-9664 | 2012-10-01 |
| 1144556861 | Du Nguyen | Rehabilitation Practitioner | 283 Nw 182nd Ave, Beaverton, OR 97006-3413 | 2009-10-30 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1427051259 | Lee Eugene Vranna | Rehabilitation Practitioner | 890 Oak St Se, Salem, OR 97301 | 2005-05-24 |
| 1174146948 | Shelly R Carlson | Rehabilitation Practitioner | 3723 Fairview Industrial Dr Se Ste 170, Salem, OR 97302-1174 | 2020-05-27 |
| 1013443548 | Amanda Garrison | Rehabilitation Practitioner | 18218 Sw Horse Tale Dr, Beaverton, OR 97007-9789 | 2017-05-03 |
| 1902206055 | Marissa Ann Senger | Rehabilitation Practitioner | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2014-08-26 |
| 1700204658 | Nick Benas | Rehabilitation Practitioner | 2120 Exchange St, Suite 301, Astoria, OR 97103-3365 | 2014-03-28 |
| 1538591508 | Stacey Kesner | Rehabilitation Practitioner | 610 High St, Oregon City, OR 97045-2241 | 2013-08-01 |
| 1346429644 | Western Reserve Rehab Group LLC | Rehabilitation Practitioner | 2561 Center St Ne, Salem, OR 97301-4600 | 2007-11-02 |
| 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.