IndividualActive
Jennifer Goodrich, AGACNP-BC
NPI 1174002976 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1174002976
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 201807115NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-1234
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.