Portillo, Jennifer Rose

Portillo, Jennifer Rose is an individual health care provider with primary practice located at 116 Se D St Ste A , Madras OR 97741-1699. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Portillo, Jennifer Rose can be contacted via phone (541) 904-5216.

Contact Information

Primary practice address
116 Se D St Ste A Madras OR 97741-1699
Phone: (541) 904-5216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1801446679
LBN Legal business name Portillo, Jennifer Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2019
Last updated Jul 28th, 2021 - about 4 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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