JAMIE MAHONEY (NPI# 1730391665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730391665 |
| Entity Type | Individual |
| Full Name | JAMIE MAHONEY |
| Credential | PA |
| Practice Address |
2875 Ne Stucki Ave Hillsboro OR 97124 |
| Mailing Address |
6854 Ne Willowgrove St Hillsboro OR 97124-8098 |
| Practice Telephone | 9714138027 |
| Mailing Telephone | 7203239194 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
150728 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 1730391665 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386987451 | Jamie Sue Mahoney | Licensed Practical Nurse | 12 Hogarth Ave, Geneva, NY 14456-1126 | 2013-03-27 |
| Street Address |
2875 NE STUCKI AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865124 | Eva Davis | Student in an Organized Health Care Education/Training Program | 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | 2019-08-06 |
| 1518511245 | Kylie Crawford | Physical Therapist | 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | 2019-07-31 |
| 1902317720 | Blychour April Herr | Pharmacist | 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | 2017-10-19 |
| 1407302037 | Mindy Khuu | Pharmacist | 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-01 |
| 1003258344 | Jessica A Dudley | Nurse Practitioner | 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | 2013-07-29 |
| 1952653081 | Sadie K Morse | Physician Assistant | 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | 2012-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043409030 | Jessica Evonne Dumitru | Physician Assistant | 421 Se Washington St, Hillsboro, OR 97123-4140 | 2007-10-16 |
| 1316328537 | Tricia Nguyen | Physician Assistant | 35731 Dunthorpe Ln, Hillsboro, VA 20132-5225 | 2015-06-12 |
| 1538280557 | Valerie K Cashman | Physician Assistant | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2007-04-03 |
| 1740379874 | Rosalia Ocamica | Physician Assistant | 364 Se 8th Ave, Suite # 200, Hillsboro, OR 97123-4253 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| 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.