DR. JESSE OWEN BROCKEY (NPI# 1942583711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942583711 |
| Entity Type | Individual |
| Full Name | DR. JESSE OWEN BROCKEY |
| Credential | D.C. |
| Practice Address |
679 E Harbor Dr # 140 Warrenton OR 97146-9717 |
| Mailing Address |
Po Box 576 Warrenton OR 97146-0576 |
| Practice Telephone | 5038611661 |
| Practice Fax Number | 5038610254 |
| Mailing Telephone | 5038611661 |
| Mailing Fax Number | 5038610254 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2016-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5008 | OR | Chiropractic Providers |
| Street Address |
679 E HARBOR DR # 140 |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154779791 | Milwaukie Chiropractic - Dr. Jesse Brockey LLC | Chiropractor | 679 E Harbor Dr, #140, Warrenton, OR 97146-9717 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| Find all providers in zip 97146 | ||||
| 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 |
|---|---|---|---|---|
| 1811444730 | Kenneth Patrick May | Chiropractor | 493 Blackwell Rd Ste 117, Warrenton, VA 20186-2628 | 2016-09-08 |
| 1760791511 | Daniel L Roach | Chiropractor | 704 N State Highway 47, Warrenton, MO 63383-1108 | 2010-09-28 |
| 1376723312 | Douglas Smith, PC | Chiropractor | 332 W Lee Hwy, Warrenton, VA 20186-2428 | 2007-11-07 |
| 1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
| 1285857839 | Douglas Brian Smith Jr. | Chiropractor | 225 Oak Springs Drive, Suite 101, Warrenton, VA 20186-2428 | 2007-04-11 |
| 1912024597 | Brian K Osmonson | Chiropractor | 113 W Booneslick Rd, Warrenton, MO 63383-1912 | 2007-03-26 |
| 1497871065 | Adam Lopez Dc, PC | Chiropractor | 679 E Harbor St Ste 140, Warrenton, OR 97146-9717 | 2007-03-22 |
| 1417088535 | Stephen D Johnson | Chiropractor | 679 E Harbor St, Suite 140, Warrenton, OR 97146-9717 | 2007-03-08 |
| 1730253659 | Ginger L Sharp | Chiropractor | 810 E Highway M, Warrenton, MO 63383-2215 | 2006-11-20 |
| 1689629289 | Melinda Jo Donnelly | Chiropractor | 331 Walker Dr Ste 6, Warrenton, VA 20186-4374 | 2006-05-23 |
| Find all providers in WARRENTON | ||||
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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.