Deidrich, Jennafer Rose
Deidrich, Jennafer Rose is an individual health care provider with primary practice located at 700 S J St , Lakeview OR 97630-1623. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Deidrich, Jennafer Rose can be contacted via phone (541) 947-6021.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 23-QMHA-R-3371 | Oregon |
Other Service Providers / Peer Specialist | 175T00000X | 107865 | Oregon |
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1891418968 |
---|---|
LBN Legal business name | Deidrich, Jennafer Rose |
Credentials | FAMILY PEER SUPPORT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2022 |
Last updated | Mar 13th, 2023 - about last year |
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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