DR. JENNIFER LYCETTE (NPI# 1801847355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801847355 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYCETTE |
| Credential | MD |
| Practice Address |
2158 Exchange St Suite 107 Astoria OR 97103-3316 |
| Practice Telephone | 5033384085 |
| Practice Fax Number | 5033384086 |
| Mailing Telephone | 5033384085 |
| Mailing Fax Number | 5033384086 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00045720 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
24559 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2158 EXCHANGE ST SUITE 107 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316484165 | Yakima Valley Farm Workers Clinic | Clinic/Center | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2017-01-31 |
| 1083009872 | Brenda Mcnaughton | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2015-03-30 |
| 1225469521 | Megan Laurel Rambob | Nurse Practitioner | 2158 Exchange St, #304, Astoria, OR 97103-3316 | 2013-12-11 |
| 1912257015 | Chelsea Anne Draper | Registered Nurse | 2158 Exchange St, #304, Astoria, OR 97103 | 2012-09-16 |
| 1629378880 | Columbia Lutheran Charities | Internal Medicine | 2158 Exchange St, Suite 206, Astoria, OR 97103-3316 | 2010-10-21 |
| 1114231420 | Christie Marie Rivelli | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2010-07-28 |
| 1427274927 | Pacific Coast Medical Supply | Durable Medical Equipment & Medical Supplies | 2158 Exchange St, Ste 106, Astoria, OR 97103-3316 | 2007-04-17 |
| 1437229366 | Tina Marie Galey | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1023351137 | Apurva Pandey | Internal Medicine | 1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974 | 2013-03-27 |
| 1295826014 | Thomas Patrick Trezona | Internal Medicine | 3783 International Ct Ste 200, Springfield, OR 97477-1025 | 2006-09-27 |
| 1013932854 | Robert Charles Lufkin | Internal Medicine | 5050 Ne Hoyt St Ste 256, Portland, OR 97213-2982 | 2006-07-13 |
| 1154360584 | Margaret Carol Sunderland | Internal Medicine | 501 Nw Elks Drive, Corvallis, OR 97330-3757 | 2006-06-04 |
| 1871550822 | Dawn Lemanne | Internal Medicine | 1801 Highway 99 N Ste 2, Ashland, OR 97520-9152 | 2006-04-26 |
| 1386647923 | Ravindra R Patil | Internal Medicine | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-05-27 |
| 1467455386 | William Gert Schmidt Jr. | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2005-05-24 |
| 1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
| 1255740965 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2014-08-06 |
| 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.