JS Stafford Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JS STAFFORD ENTERPRISES, INC.

Doing business as

J & S Center for Wellness

Practice address

34952 S Ellis Rd
Suite a
Molalla, OR 97038-8478

Phone

(503) 829-5918

NPI assigned

Apr 8, 2008

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sandra Jean Stafford, LMTNPI 1891834677

Title

Ceo

Phone

(503) 829-5918

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• J & S Center for Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Jean Stafford, LMT

  • Massage Therapist
  • Molalla, OR
  • NPI 1891834677
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1164695482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34952 S ELLIS RD",
            "address_2": "SUITE A",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388478",
            "telephone_number": "503-829-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34952 S ELLIS RD",
            "address_2": "SUITE A",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388478",
            "telephone_number": "503-829-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS STAFFORD ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-829-5918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "10643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5980280001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL FECA #",
            "identifier": "612889300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & S Center for Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Paul Jacques
• Frank R James, MD
• Brent A Jefferies, RPH
• Daryl L. Johnson, D.M.D.
• Dixie Lynn Johnson, LPC, NCC, OM
• Edward M Kim, MD
• Patrick William Kincaid, DPT
• Knead to Heal LLC (JS Massage Works)
• Julie Kornilkin, LICENSED MASSAGE THE
• Kamela Miriah Kraemer, DC

• Durable Medical Equipment & Medical Supplies in Molalla, OR
• Providers in Molalla, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.