1952553687 NPI number — DR. JENNIFER R PIERCE MD

Table of content: DR. JENNIFER R PIERCE MD (NPI 1952553687)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952553687 NPI number — DR. JENNIFER R PIERCE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIERCE
Provider First Name:
JENNIFER
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952553687
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
209 N PACIFIC HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TALENT
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97540-9634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-789-5005
Provider Business Mailing Address Fax Number:
541-789-5239

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 N PACIFIC HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TALENT
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97540-9634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-789-5005
Provider Business Practice Location Address Fax Number:
541-789-5239
Provider Enumeration Date:
10/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  49249 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RH0002X , with the licence number: MD197245 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MD197246 . This is a "OREGON MEDICAL BOARD" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".




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