JESSE RAINER BLOODGOOD
NPI 1629859707
Technician - Personal Care Attendant in Portland, OR

Active since October 13, 2023
13317 SE POWELL BLVD, PORTLAND, OR 97236(503) 763-9606 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Rainer Bloodgood NPPES

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

JESSE RAINER BLOODGOOD (NPI 1629859707) is an individual personal care attendant in Portland, Oregon and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1629859707
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJESSE RAINER BLOODGOOD
Location Address13317 SE POWELL BLVDPortland, OR 97236-3335
Mailing AddressPo Box 8459Portland, OR 97207-8459
Sole ProprietorNo
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
NPI 1629859707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
13317 SE POWELL BLVD, Portland, OR 97236

Other Names 1

Former Name (1)Carmen Marie Ellingsworth

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Technician (Personal Care Attendant)
13317 SE POWELL BLVD
PORTLAND, OR 97236
Counselor (Mental Health)
13317 SE POWELL BLVD
PORTLAND, OR 97236
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Adult Companion
13317 SE POWELL BLVD
PORTLAND, OR 97236

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 Jesse Bloodgood's NPI number?

The NPI number for Jesse Bloodgood is 1629859707. It was assigned to this individual provider in the NPPES registry on October 13, 2023. The provider is also known as Carmen Marie Ellingsworth.

Where is Jesse Bloodgood located?

Jesse Bloodgood practices at 13317 SE Powell Blvd, Portland, OR 97236. The listed phone number is (503) 763-9606.

What is Jesse Bloodgood's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jesse Bloodgood was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.