Deidrich, Jennafer Rose

Deidrich, Jennafer Rose is an individual health care provider with primary practice located at 700 S J St , Lakeview OR 97630-1623. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Deidrich, Jennafer Rose can be contacted via phone (541) 947-6021.

Contact Information

Primary practice address
700 S J St Lakeview OR 97630-1623
Phone: (541) 947-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 23-QMHA-R-3371 Oregon
Other Service Providers / Peer Specialist 175T00000X 107865 Oregon
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1891418968
LBN Legal business name Deidrich, Jennafer Rose
Credentials FAMILY PEER SUPPORT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2022
Last updated Mar 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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