Provider Demographics
NPI:1033305818
Name:JANE MCKEE & ASSOCIATES
Entity Type:Organization
Organization Name:JANE MCKEE & ASSOCIATES
Other - Org Name:MERIDIAN ACUPUNCTURE & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:THAYER
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-692-9680
Mailing Address - Street 1:12005 SW 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-9634
Mailing Address - Country:US
Mailing Address - Phone:503-692-9680
Mailing Address - Fax:503-670-4954
Practice Address - Street 1:12005 SW 70TH AVE
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-9634
Practice Address - Country:US
Practice Address - Phone:503-692-9680
Practice Address - Fax:503-670-4954
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANE MCKEE & ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-14
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00238246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500655629Medicaid