JESSICA MARIE CORDERO (NPI# 1790157147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790157147 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE CORDERO |
| Practice Address |
1175 E Main St Ste 1c Medford OR 97504-7457 |
| Mailing Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
| Practice Telephone | 5417720127 |
| Mailing Telephone | 5414145706 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 715 Sw Ramsey Ave, Grants Pass, OR 975275500 | 5414145706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254710 | Jessica Damaris Cordero | Physical Medicine & Rehabilitation | 312 W J St, Los Banos, CA 93635-4073 | 2019-03-19 |
| 1215439633 | Jessica S. Cordero | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-01 |
| 1891214151 | Jessica Cordero | Social Worker | 2328 W Joppa Rd Ste 10, Lutherville, MD 21093-4613 | 2017-09-18 |
| 1326565433 | Jessica Cordero | Community Health Worker | 44 Diauto Dr, Randolph, MA 02368-4536 | 2017-08-29 |
| 1205298718 | Jessica Cordero | Counselor | 4460 S Highland Dr, 230, Salt Lake City, UT 84124-3543 | 2016-03-23 |
| Street Address |
1175 E MAIN ST STE 1C |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902094949 | Travis C Toll | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2007-10-03 |
| 1407337264 | Marlon Campos | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2018-08-28 |
| 1881108926 | Heather Nichole Daw | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-11-28 |
| 1982118022 | Jeremy Jones | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-11-28 |
| 1811409667 | Casandra Lynn Anderrson | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-11-02 |
| 1821500125 | Sarah Hollingworth | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-10-26 |
| 1306358783 | Anne Lois Dupree | Peer Specialist | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-10-25 |
| 1881104057 | Aubrey Shaw | Counselor | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-10-02 |
| 1437673688 | Lauren Vail | Psychologist | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-07-31 |
| 1730600867 | Wei Tseng | Peer Specialist | 1175 E Main St Ste 1c, Medford, OR 97504-7457 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
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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.