DR. JENNIFER MARIE WATTERS


Address: 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092
Phone: 5417066915

DR. JENNIFER MARIE WATTERS (NPI# 1801013560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801013560
Entity Type Individual
Full Name DR. JENNIFER MARIE WATTERS
Credential M.D.
Practice Address 2275 Ne Doctors Dr Ste 6
Bend
OR 97701-6092
Mailing Address 3181 Sw Sam Jackson Park Rd
L611
Portland
OR 97239-3011
Practice Telephone 5417066915
Practice Fax Number 5417066733
Mailing Telephone 5034945300
Enumeration Date 2007-04-20
Last Update Date 2020-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery MD27637 OR Allopathic & Osteopathic Physicians
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
MD27637 OR Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
MD27637 OR Allopathic & Osteopathic Physicians

Other Providers JENNIFER WATTERS

NPI Name Taxonomy Address Enumeration
1962618108 Jennifer Jean Watters Physical Therapist 1100 Ninth Avenue, Seattle, WA 98101 2007-05-15
1134270705 Jennifer Joanne Watters Massage Therapist 1635 Olympic Highway N, Shelton, WA 98584 2007-01-12
1750463246 Jennifer Leigh Watters Dentist 2299 19th Avenune, San Francisco, CA 94116 2006-10-20
1376987255 Jennifer Smith Watters Registered Nurse 120 Lakeside Dr, Union, SC 29379-1939 2013-04-23
1144568346 Jennifer Diane Watters Physical Therapy Assistant 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 2013-01-22
1912133919 Jennifer M Watters Chiropractor 710 Wilshire Blvd Ste 314, Santa Monica, CA 90401-1724 2009-06-04

Office Location

Street Address 2275 NE DOCTORS DR STE 6
City BEND
State OR
Zip Code 97701-6092

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972588572 Daniel Thomas Cosgro Physician Assistant 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2005-12-07
1609281518 Catherine Heaphy Physician Assistant 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2014-06-30
1134462302 Anne Onishi Surgery 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2013-04-05
1023369030 Ryan Dutton Physician Assistant 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2012-10-01
1194098756 Linda De Laveaga Becker Nurse Practitioner 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2012-02-13
1093008617 Andrew Jon Riggle Surgery 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2011-05-16
1841580503 Mary Elizabeth Condron Surgery 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2011-04-15
1497085922 Bradley E Scott Physician Assistant 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2010-01-06
1730345331 Marika Yedinak Gassner Surgery 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2008-08-03
1104029768 Maryclare Sarff Surgery 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2007-06-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1013480714 Andrew Traut Specialist/Technologist Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 2019-01-04
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
Find all providers in zip 97701

Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730345331 Marika Yedinak Gassner Surgery 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 2008-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639379811 Ivonne M Daly Surgery 815 Ne Davis St Fl 3, Portland, OR 97232-2964 2007-07-25
1265850762 Tatiana Hoyos Gomez Surgery 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2014-04-01
1124261979 Elizabeth Maryann Windell Surgery 665 Winter St Se, Salem, OR 97301-3934 2009-04-09
1285802009 Albert Chi Surgery 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2008-02-14
1932304284 Mitchell Brett Sally Surgery 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2007-06-18

Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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