IndividualActive
Jenifer Prevost
NPI 1003662784 · Peer Specialist · Portland, OR
Jenifer Prevost is a Peer Specialist provider in Portland, OR (NPI 1003662784).
Provider details
- NPI number
- 1003662784
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
3036 Ne Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.