Richie, Jennifer Lynn

Richie, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 1132 Sw 13Th Ave , Portland OR 97205-1703. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Richie, Jennifer Lynn can be contacted via phone (503) 200-7055.

Contact Information

Primary practice address
1132 Sw 13Th Ave Portland OR 97205-1703
Phone: (503) 200-7055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 077416 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 077416 New York

Profile Details

NPI number 1700028883
LBN Legal business name Richie, Jennifer Lynn
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2009
Last updated Oct 10th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700028883 NPPES
Oregon Other 1568401347 OUTSIDE IN

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