JEDEDIAH W BOICE (NPI# 1770737058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770737058 |
| Entity Type | Individual |
| Full Name | JEDEDIAH W BOICE |
| Practice Address |
1125 Nw 9th Ave Ste 221 Portland OR 97209-2864 |
| Practice Telephone | 5033300007 |
| Practice Fax Number | 5039141979 |
| Mailing Telephone | 5033300007 |
| Mailing Fax Number | 5039141979 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1125 NW 9TH AVE STE 221 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457556086 | Marc Karl Binder | Internal Medicine | 1125 Nw 9th Ave, #431, Portland, OR 97209-2864 | 2007-06-14 |
| 1356644579 | Shahrzad Vossoughi Fakhravar | Acupuncturist | 1125 Nw 9th Ave, Suite 107b, Portland, OR 97209-2864 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1508417247 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 165 Lancaster St Ste P, Portland, ME 04101-2406 | 2019-09-24 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1841753050 | Regional Home Care Inc. | Durable Medical Equipment & Medical Supplies | 190 Riverside St Unit 2b, Portland, ME 04103-1073 | 2019-04-14 |
| 1154889137 | Julie Marie Conaway | Durable Medical Equipment & Medical Supplies | 1302 Wildcat Dr, Portland, TX 78374-2812 | 2019-03-08 |
| 1225503188 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3036 Ne Martin Luther King Jr Blvd Ste 136, Portland, OR 97212-3053 | 2018-10-08 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| 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.