Cheshire, Jennifer L

Cheshire, Jennifer L is an individual health care provider with primary practice located at 15520 Ne 82Nd Cir , Vancouver WA 98682-3745. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cheshire, Jennifer L can be contacted via phone (360) 608-6887.

Contact Information

Primary practice address
15520 Ne 82Nd Cir Vancouver WA 98682-3745
Phone: (360) 608-6887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00004411 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 05-11-93 Oregon

Profile Details

NPI number 1962566323
LBN Legal business name Cheshire, Jennifer L
Credentials CDP,CADCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 10th, 2010 - about 14 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

Identifiers

StateTypeNumberIssuer
All States NPI 1962566323 NPPES
Oregon MEDICAID 164936

Popular Providers