Provider Demographics
NPI:1235743626
Name:YORK, JAIME ELLEN
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:ELLEN
Last Name:YORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17160 MERGANSER DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97707-2099
Mailing Address - Country:US
Mailing Address - Phone:206-250-0742
Mailing Address - Fax:
Practice Address - Street 1:17160 MERGANSER DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97707-2099
Practice Address - Country:US
Practice Address - Phone:206-250-0742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty