Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LUSTBADER, CMR
Active Sole ProprietorJENNIFER LUSTBADER, CMR is a Peer Specialist healthcare provider located in BEAVERTON, Oregon. NPI 1639555600 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · BEAVERTON, OR
Registration Details
- NPI Number
- 1639555600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2015 (11.007626605878 yrs)
- Last Updated
- Jul 31, 2015
- License
-
15-CRM-111 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14760 SW FOREST DRBEAVERTON, OR, 970075117Browse OR providers · Browse ZIP 97007
- Phone
- 5038607481
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| JULIANA CLARK | — | 1487101648 |
| SARAH K HERTZ | — | 1093206757 |
| CARLOS THOMAS BENSON MARTINEZ | — | 1205477783 |
| BIANCA MALDONADO RAMIREZ | — | 1871134353 |
| PEGGY LYNN HUMPHRIES | — | 1760091839 |
| RENE HADLEY | — | 1578160859 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.