Organization Active NPI

Polly H. Jamison, PH.D.

  • Psychologist
  • Eugene, OR
National Provider Identifier
1447819495
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
POLLY H. JAMISON, PH.D.
Practice address
2150 Dalton Dr
Eugene, OR 97404-2201
Phone
(541) 343-9697
Fax
(541) 688-0068
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Emily R Strong-Holte
Title
Secretary/ Office Manager
Phone
(541) 343-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2150 Dalton Dr
Eugene, OR 97404-2201

Mailing address

2150 Dalton Dr
Eugene, OR 97404-2201
Phone (541) 343-9697

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1447819495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 DALTON DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042201",
            "telephone_number": "541-343-9697",
            "fax_number": "541-688-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 DALTON DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042201",
            "telephone_number": "541-343-9697",
            "fax_number": "541-688-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLY H. JAMISON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "STRONG-HOLTE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SECRETARY/ OFFICE MANAGER",
        "authorized_official_telephone_number": "541-343-9697"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.