MS. JERI PAIRISH-LACK CFNP
NPI 1497754329
Nurse Practitioner - Family in Grants Pass, OR

Active since July 21, 2005
124 NW MIDLAND AVE, STE J, GRANTS PASS, OR 97526(541) 476-8859(541) 955-8611 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jeri Pairish-lack Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JERI PAIRISH-LACK CFNP (NPI 1497754329) is an individual family provider in Grants Pass, Oregon, licensed in Oregon (094006084N1) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1497754329
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JERI PAIRISH-LACKCredential: CFNP
Location Address124 NW MIDLAND AVE, STE JGrants Pass, OR 97526-1269
Mailing Address124 Nw Midland Ave, Ste JGrants Pass, OR 97526-1269 · (541) 476-8859 · Fax (541) 955-8611
Fax(541) 955-8611
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateOctober 1, 2007
NPI 1497754329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 094006084N1
Also ListedFamily MedicineTaxonomy 207Q00000X
124 NW MIDLAND AVE, Grants Pass, OR 97526

Other Identifiers 3

Medicare UPINP55065OR
Medicare ID-Type Unspecified112680OR
Medicaid000473OR

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
124 NW MIDLAND AVE, STE J
GRANTS PASS, OR 97526
Nurse Practitioner (Family)
124 NW MIDLAND AVE
GRANTS PASS, OR 97526
Family Medicine
124 NW MIDLAND AVE
GRANTS PASS, OR 97526
Clinic/Center (Primary Care)
124 NW MIDLAND AVE, SUITE 110
GRANTS PASS, OR 97526
Family Medicine
124 NW MIDLAND AVE
GRANTS PASS, OR 97526
Specialist
124 NW MIDLAND AVE, SUITE 109
GRANTS PASS, OR 97526
Family Medicine
124 NW MIDLAND AVE, SUITE 108
GRANTS PASS, OR 97526
Family Medicine
124 NW MIDLAND AVE, STE J
GRANTS PASS, OR 97526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeri Pairish-lack's NPI number?

The NPI number for Jeri Pairish-lack is 1497754329. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Jeri Pairish-lack located?

Jeri Pairish-lack practices at 124 NW Midland Ave Ste J, Grants Pass, OR 97526. The listed phone number is (541) 476-8859.

What is Jeri Pairish-lack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jeri Pairish-lack was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.