Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN WIDDER
Active Sole ProprietorJENNIFER LYNN WIDDER is a Peer Specialist healthcare provider located in REDMOND, Oregon. NPI 1790594125 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · REDMOND, OR
Registration Details
- NPI Number
- 1790594125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 31, 2024 (1.5900870267508 yrs)
- Last Updated
- Dec 31, 2024
- License
-
112910 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6396 SW MCVEY AVEREDMOND, OR, 977569069Browse OR providers · Browse ZIP 97756
- Phone
- 5413891858
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in REDMOND, OR
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE JOSEPH PEREZ | — | 1477183721 |
| THOMAS GULICK | CRM | 1952917197 |
| DENA SOUZA | — | 1659954063 |
| MR. RICHARD ARLEN KEEN | CADC-R, PSS | 1770254104 |
| CHRYSTAL SIMMONS | — | 1376206854 |
| LESLIE WILLIAMS | PSS, IPS, CHW, QMHA- | 1538875778 |
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.