Lopez Gonzalez, Jennifer

Lopez Gonzalez, Jennifer is an individual health care provider with primary practice located at 13317 Se Powell Blvd , Portland OR 97236-3335. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Lopez Gonzalez, Jennifer can be contacted via phone (503) 760-9606.

Contact Information

Primary practice address
13317 Se Powell Blvd Portland OR 97236-3335
Phone: (503) 760-9606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1629793013
LBN Legal business name Lopez Gonzalez, Jennifer
Credentials QMHA-R
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2022
Last updated Jul 9th, 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.

Request for update

Popular Providers