DR. JEFFREY ALAN ANDERSON (NPI# 1801321971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801321971 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN ANDERSON |
| Credential | DC |
| Practice Address |
17221 Se Division St Portland OR 97236-1240 |
| Practice Telephone | 5037600778 |
| Practice Fax Number | 5037600753 |
| Mailing Telephone | 0376000778 |
| Mailing Fax Number | 5037600753 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5800 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Street Address |
17221 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437455060 | Linda D Brown | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2011-01-29 |
| 1306321906 | Diana Shapovalova | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2018-09-28 |
| 1962916742 | Mary Nicole Grizhuk | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2017-11-30 |
| 1275082067 | Stanislav Kukushkin | Massage Therapist | 17221 Se Division St, Portland, OR 97236 | 2016-09-22 |
| 1407248859 | Pacific Chiropractic & Wellness Center, LLC | Chiropractor | 17221 Se Division St, Ste 21, Portland, OR 97236-1240 | 2015-02-23 |
| 1801222682 | Alla A Lobasyuk | Chiropractor | 17221 Se Division St, Portland, OR 97236-1240 | 2013-09-24 |
| 1154757664 | Andre Raymond Laurier Jr. | Massage Therapist | 17221 Se Division St, Portland, OR 97236-1240 | 2013-09-17 |
| 1992049712 | Mary Vaandering | Specialist | 17221 Se Division St, S-21, Portland, OR 97236-1240 | 2012-11-16 |
| 1396002614 | Artur S Snegur | Specialist | 17221 Se Division St, Ste. 21, Portland, OR 97236-1240 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| 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.