MRS. JAMIE LYNN ELLIS - WITTENHAGEN (NPI# 1740601525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740601525 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE LYNN ELLIS - WITTENHAGEN |
| Other Name | JAMIE LYNN ELLIS |
| Credential | D.O. |
| Practice Address |
890 Oak St Se Salem OR 97301-3905 |
| Mailing Address |
Po Box 13129 Salem OR 97309-1129 |
| Practice Telephone | 5035615200 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125.064533 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
DO188703 | OR | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
007284 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
890 OAK ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051259 | Lee Eugene Vranna | Rehabilitation Practitioner | 890 Oak St Se, Salem, OR 97301 | 2005-05-24 |
| 1588262687 | Eric Timmons | Nurse Practitioner | 890 Oak St Se, Salem, OR 97301-3905 | 2020-10-12 |
| 1548875610 | Jena Mcclain | Registered Nurse | 890 Oak St Se, Salem, OR 97301-3905 | 2020-09-15 |
| 1265053425 | Jillian Elise Nybakken | Dietitian, Registered | 890 Oak St Se, Salem, OR 97301-3905 | 2020-04-29 |
| 1255966883 | Ashley Danielle Morally | Nurse Practitioner | 890 Oak St Se, Salem, OR 97301-3905 | 2020-03-04 |
| 1871156588 | Benjamin Arndt | Surgery | 890 Oak St Se, Salem, OR 97301-3905 | 2019-04-17 |
| 1467910802 | Alyssa A. Powell | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2019-03-05 |
| 1760954556 | Lawrence Steven Molinar | Dietitian, Registered | 890 Oak St Se, Salem, OR 97301 | 2018-12-18 |
| 1720554801 | Martina Georgette Vawser | Specialist/Technologist, Other | 890 Oak St Se, Salem, OR 97301-3905 | 2018-10-16 |
| 1952885659 | Amy Purkey | Internal Medicine | 890 Oak St Se, Salem, OR 97301-3905 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821171570 | Anna Kate Westmoreland | Internal Medicine | 2825 E Barnett Rd # Rc, Medford, OR 97504-8332 | 2006-10-23 |
| 1861825820 | Providence Health & Services - Oregon | Internal Medicine | 9280 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-9353 | 2013-08-14 |
| 1497187710 | Providence Health & Services -oregon | Internal Medicine | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2013-08-09 |
| 1902121890 | Jessica Lynn Bordley | Internal Medicine | 3181 Sw Sam Jackson Park Rd # L586, Ohsu Division Hematology/oncology, Portland, OR 97239-3011 | 2010-04-02 |
| 1316193485 | Nora Tobin | Internal Medicine | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2008-08-08 |
| 1639375876 | Jessica Safra | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-06-25 |
| 1598977159 | David P Thompson | Internal Medicine | 3181 Sw Sam Jackson Park Rd, L587, Portland, OR 97239-3011 | 2007-05-04 |
| 1689680134 | Paul Benjamin Bascom | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2006-08-01 |
| 1851341531 | Anthony Mistretta | Internal Medicine | 2825 E. Barnett Rd, Medford, OR 97504-8332 | 2006-05-11 |
| 1922067487 | Constance Rosson | Internal Medicine | 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 | 2006-03-22 |
| 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.