Jamelle King

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06378 Issued in OR

Practice address

14445 SE Mountain Ridge Ave
Happy Valley, OR 97086-4042

Phone

(503) 891-4586

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527
  NPD

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1871728022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 SE MOUNTAIN RIDGE AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864042",
            "telephone_number": "503-891-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 SE MOUNTAIN RIDGE AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864042",
            "telephone_number": "503-891-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JAMELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Keller, RPH
• Joshua Benjamin Kelso
• Darcy Brook Kennedy, LCSW
• Holly Michelle Kiesz-Royer, SLP
• King Smile Dentistry LLC
• Jacob Gabriel Kirkwood, PMHNP
• David J Klarberg, FNP-BC
• Laurie Akemi Kobatake, OTRL
• Vera Krasnogorov
• Andrew D Kroeker, M.D.

• Physical Therapist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.