LAURA ELIZABETH JACKSON
Student in an Organized Health Care Education/Training Program

Address: 2730 S Moody Ave, Portland, OR 97201

LAURA ELIZABETH JACKSON (NPI# 1780206060) 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) 1780206060
Entity Type Individual
Full Name LAURA ELIZABETH JACKSON
Gender Female
Practice Address 2730 S Moody Ave
Portland
OR 97201
Practice Telephone 5034943633
Mailing Address 2730 South Moody Ave
Portland
OR 97201-5042
Certification Date 2020-05-10
Enumeration Date 2020-05-10
Last Update Date 2020-05-10
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1902319692 Laura Elizabeth Jackson 6502 Slide Rd Ste 204, Lubbock, TX 79424-1311 2017-11-16

Office Location

Street Address 2730 S MOODY AVE
City PORTLAND
State OR
Zip Code 97201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437751799 Natasha Sue Mckibben Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-11-12
1487266201 David Quinlin Cornwell Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-08-21
1710599246 Jacob Kleiman Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-08-17
1477162915 Curtis Wang Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-07-30
1053939934 Aaron G Compton Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-07-08
1427672955 Elizabeth Olson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-06-01
1073137584 Andrew Han Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-06-01
1184246704 Victor Collazo Vidales Jr. Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2020-05-18

Providers in the same city

NPI Name Taxonomy Address Enumeration
1508454026 Nastja Rebrin Pharmacy · Institutional Pharmacy 1105 Ne Meadow Dr, Portland, OR 97211-1215 2021-01-10
1497343917 Gregory Joseph Harpel Social Worker · Clinical 1219 Se Lafayette St # 104, Portland, OR 97202-3802 2021-01-10
1376131862 Juliann Massey Stanis Registered Nurse · Lactation Consultant 3896 Se Heron Glen Way, Portland, OR 97267-5867 2021-01-09
1629666110 Bridgeview Surgery Center LLC Surgery 1200 Nw Naito Pkwy Ste 320, Portland, OR 97209-2829 2021-01-09
1437747136 Ch Mh Services (or), LLC Clinic/Center · Mental Health (Including Community Mental Health Center) 4152 Ne Sandy Blvd, Portland, OR 97212-5336 2021-01-07
1689262495 Robin Rhys Eddins Chiropractor 3715 Se Cesar Chavez Blvd, Portland, OR 97202-1704 2021-01-07
1013505825 Oregon Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4030 Ne Halsey St, Portland, OR 97232-1833 2021-01-07
1548858442 Cady Mathews Pharmacist 24 Nw Lost Springs Terr #36, Portland, OR 97229 2021-01-06
1578151577 Hannah Mariah Leslie Doula 908 Ne 44th Ave Apt 4, Portland, OR 97213-2228 2021-01-05
1871181933 Rise Holistic Healing, LLC Counselor · Professional 123 Forest Avenue, Portland, ME 04101-1907 2021-01-05
Find all providers in PORTLAND

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760079503 Nicolas Robert Fenton 198 Concord St, Portland, ME 04103-3102 2020-12-28
1588269815 Ashley Bullie Koch 2556 Nw Northrup St, Portland, OR 97210-2684 2020-12-03
1215536602 Dario J Lapoma 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1114532983 Matthew W Cronin 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1669081659 Amy Hill 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97201

Similar providers

NPI Name Taxonomy Address Enumeration
1487949400 Laura Elizabeth Evans Jackson · Laura Elizabeth Evans Pediatrics 4401 Penn Avenue, Aob, Suite 5400, Pittsburgh, PA 15224 2011-06-17
1053880534 Laura Elizabeth Jones Social Worker · Clinical 529 S Jackson St, Louisville, KY 40202-3229 2018-11-14
1184186256 Laura Elizabeth Martin Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2019-04-05
1700028743 Laura Elizabeth Barkley Radiology · Diagnostic Radiology 550 S Jackson St, Acb 3rd Floor, Louisville, KY 40202-1622 2009-04-06
1780715474 Laura Elizabeth Patterson Physical Therapist 176 W University Pkwy Ste C, Jackson, TN 38305-1618 2007-03-07
1730507500 Laura Elizabeth Chess Internal Medicine · Critical Care Medicine 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2014-03-31
1477040822 Laura Elizabeth Castro Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2018-04-20
1295283075 Marian Laura Elizabeth Keillor · Laura Elizabeth Johnson/Harrelson Advanced Practice Midwife 9825 Hospital Dr, #205, Maple Grove, MN 55369-4479 2016-09-21
1225340409 Laura Elizabeth Baukol · Laura Elizabeth Stucker Speech-Language Pathologist 2680 18th Street, Suite 150a, Denver, CO 80211 2010-07-05
1891003109 Laura Elizabeth Harger · Laura Elizabeth Hurley Physician Assistant · Medical 6124 West Parker Road, Mob IIi Suite 234, Plano, TX 75093-8124 2010-09-21

Improve Information

Please provide details on LAURA ELIZABETH JACKSON by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

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.