MS. JERI PAIRISH-LACK CFNP NPI 1497754329

NPI Information

  • NPI: 1497754329
  • Provider Name: MS. JERI PAIRISH-LACK, CFNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 124 NW MIDLAND AVE
    STE J
    GRANTS PASS, OR
    ZIP 97526
  • Phone: (541) 476-8859

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NPI Details

MS. Jeri Pairish-lack, CFNP is a family nurse practitioner in Grants Pass, OR. MS. Jeri Pairish-lack, CFNP NPI is 1497754329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

124 NW MIDLAND AVE
STE J
GRANTS PASS, OR
ZIP 97526-269
Phone: (541) 476-8859
Fax: (541) 955-8611

The enumeration date for this NPI number is 7/21/2005 and was last updated on 10/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily094006084N1OREGONYes
2207Q00000XFamily MedicineOREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P55065MEDICARE UPINOREGON
2112680MEDICARE ID-TYPE UNSPECIFIEDOREGON
3000473MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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