Electrolysis and Esthetic by Joanne

Primary specialty

TechnicianTaxonomy code 374700000X

Legal business name

ELECTROLYSIS AND ESTHETIC BY JOANNE

Practice address

723 SE Main St
Roseburg, OR 97470-3938

Phone

(541) 670-8401

NPI assigned

Jan 10, 2020

Last updated

Jan 10, 2020By 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. Joanne Clarke, L.E.NPI 1386284339

Title

Owner

Phone

(541) 670-8401

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Joanne Clarke, ELECTROLOGIST

  • Technician
  • Roseburg, OR
  • NPI 1386284339
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1528608288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 NW RIVERFRONT DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716168",
            "telephone_number": "541-670-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SE MAIN ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703938",
            "telephone_number": "541-670-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROLYSIS AND ESTHETIC BY JOANNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-670-8401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.E."
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "roseburg",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "723 SE Main St",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974703938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Laurie Edwards, LMP
• Obiageri Egeolu, MD
• Matthew Eggen, PHARM.D
• Janet G. Eggers, PMHNP
• David H Eichman, DDS
• Lawrence David Elkins, MSW, LCSW
• Pamela H Ellenburg, DO
• Rachelle Ellery, M.S
• Deanna L Ellingson
• Jessica Elliott

• Technician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.