JACQUELINE MARIE RUSSELL (NPI# 1720673577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720673577 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE RUSSELL |
| Gender | Female |
| Practice Address | 3455 Sw Us Veterans Hospital Rd Portland OR 97239-3076 |
| Practice Telephone | 5034947725 |
| Mailing Address | 3455 Sw Us Veterans Hospital Rd Portland OR 97239-3076 |
| Mailing Telephone | 5034947725 |
| Certification Date | 2021-03-03 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497858070 | Jacqueline Marie Russell | 4011 Route 9 S, Suite 201, Rio Grande, NJ 08242-1916 | 2006-09-07 |
| Street Address | 3455 SW US VETERANS HOSPITAL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588259071 | Darren Ramcharan | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2021-03-05 |
| 1114510179 | Kendra Elliott Green | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2021-02-19 |
| 1164012472 | David William Caldwell | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2021-01-20 |
| 1023605870 | Kelsey Poppe | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-12-28 |
| 1710574793 | Emma Elizabeth Downing | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-12-24 |
| 1932796067 | Cassandra Lian Hwa | Registered Nurse · Medical-Surgical | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-12-22 |
| 1568066868 | Whitney C Martin | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-11-26 |
| 1124629951 | Callie Harling | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-11-06 |
| 1346849890 | Tiffany Allen | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-10-25 |
| 1538767934 | Courtney May Warnecke | Student in an Organized Health Care Education/Training Program | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-10-16 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835192 | Catherine Anne Galpin · Carrie Galpin | Student in an Organized Health Care Education/Training Program | 3455 Sw Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376134536 | Pooja Vyas | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2021-01-31 |
| 1407461338 | Courtney Dawson | Pharmacist | 3181 Sw Sam Jackson Park Rd, Mail Code: Cr 9-4, Portland, OR 97239 | 2020-09-08 |
| 1962011163 | Jennifer Lee Radke | Pharmacist | 3181 Sw Sam Jackson Park Rd, Mail Code: Cr 9-4, Portland, OR 97239 | 2020-07-24 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1942839196 | Belinda Juliana Nhundu | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2020-04-08 |
| 1265061246 | Jennifer Wilhelm | Physical Therapist | 3303 Sw Bond Ave, Mail Code Ch3t, Portland, OR 97239 | 2020-04-02 |
| 1447888193 | Jared Schaefer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2020-03-30 |
| 1790312809 | Eric Alexander Ardman | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2020-03-26 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215522784 | Talisa L Sutherland | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-03-05 | |
| 1437744901 | Jeff Rodgers | 5415 Sw Westgate Dr, Portland, OR 97221-2409 | 2021-03-05 | |
| 1588259071 | Darren Ramcharan | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2021-03-05 | |
| 1972198455 | Gina Michele Castanares | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-03-05 | |
| 1679168538 | Marija Jozic | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2021-03-03 | |
| 1508450727 | Jason M. Irish | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-02-28 | |
| 1740874981 | Anna Ayala | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-28 | |
| 1952995144 | Morgan Einwaller | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-27 | |
| 1043804206 | Sean Patrick Conley | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-26 | |
| 1376137687 | Mackenzie Carstens | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-26 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063700789 | Jacqueline Marie Beard · Jacqueline Marie Clifford | Dentist | 5525 Warrensville Center Rd, Maple Heights, OH 44137-3156 | 2011-07-15 |
| 1306928940 | Jacqueline Marie Steffenhagen · Jacqueline Marie Seliga | Occupational Therapist | 3305 Central Park Village Dr Ste 130, Eagan, MN 55121-7707 | 2006-10-20 |
| 1467413401 | Jacqueline Marie Kaufman · Jacqueline Marie Thoen | Social Worker · Clinical | 45 Knollwood Road, Suite 502, Elmsford, NY 10532 | 2006-03-29 |
| 1578672465 | Jacqueline Marie Rodriguez · Jacqueline Marie Garner | Counselor · Mental Health | 9628 Glacier Creek Way, Elk Grove, CA 95624-6079 | 2006-08-30 |
| 1386019123 | Jacqueline Marie Brock · Jacqueline Marie Harris | Specialist | 3106 S W S Young Dr, Suite 201-B, Killeen, TX 76542-2000 | 2015-12-04 |
| 1649597402 | Jacqueline Marie Vanderbilt · Jacqueline Marie Assal | Speech-Language Pathologist | 155 Baker House Trent Dr, Durham, NC 27710-0001 | 2010-05-03 |
| 1477145779 | Jacqueline Marie Scott · Jacqueline Marie Hatchett | Nurse Practitioner · Family | 3535 Chere Carol Rd, Humboldt, TN 38343-3634 | 2021-02-08 |
| 1811277098 | Jacqueline Marie Davenport · Jacqueline Marie Delgiorno | Physical Therapist | 200 Patewood Dr, Ste C250, Greenville, SC 29615-3593 | 2011-08-19 |
| 1407020522 | Jacqueline Marie Termont · Jacqueline Marie Eberhard | Dietitian, Registered | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2008-04-18 |
| 1922481241 | Jacqueline Marie Rasile · Jacqueline Marie Simonson | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305 | 2015-07-06 |
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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.