DR. JENNIFER LYNN BROCKER (NPI# 1699950717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699950717 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN BROCKER |
| Credential | D.C. |
| Practice Address |
2031 E Burnside St Portland OR 97214-1649 |
| Practice Telephone | 5032242100 |
| Practice Fax Number | 5032242129 |
| Mailing Telephone | 5032242100 |
| Mailing Fax Number | 5032242129 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 713761 | OR | Chiropractic Providers |
| Street Address |
2031 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013017664 | Elise G. Hewitt | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2006-09-24 |
| 1184080905 | Rae Ann Peil | Massage Therapist | 2031 E Burnside St, Portland, OR 97214-1649 | 2016-01-08 |
| 1033590518 | Katie Lynn Leaper | Massage Therapist | 2031 E Burnside St, Portland, OR 97214-1649 | 2015-06-10 |
| 1720330251 | Heidi D Olejnik | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2012-10-08 |
| 1023386851 | Raymond Anthony Capone IIi | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2011-12-07 |
| 1497050116 | Jennifer Louise Talbert | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2011-01-12 |
| 1013225093 | Heidi Linden | Acupuncturist | 2031 E Burnside St, Portland, OR 97214-1649 | 2010-09-23 |
| 1063732683 | Christopher Browne | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2010-06-05 |
| 1790929321 | Christina Mandrup Jaderholm | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2009-04-27 |
| 1760620256 | Caroline Deanne Peterson | Chiropractor | 2031 E Burnside St, Portland, OR 97214-1649 | 2009-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| Find all providers in PORTLAND | ||||
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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.