IndividualActive
Jennifer Lockwood, AGNP
NPI 1609255595 · Gerontology Nurse Practitioner · Vancouver, WA
Provider details
- NPI number
- 1609255595
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 632123 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
505 Ne 87th Ave Ste 460
Vancouver, WA 98664-1965
Phone: (360) 514-7771
Fax: (360) 514-7769
Approximate (ZIP-level) locationGet directions
Mailing address
847 Ne 19th Ave Ste 300
Portland, OR 97232-2686
Additional practice locations (4)
- 879 Providence DrNewberg, OR 97132-7563Phone: (503) 297-3778Fax: (503) 297-7853
- 9427 Sw Barnes Rd Ste 296Portland, OR 97225-6667Phone: (503) 297-3778Fax: (503) 297-7853
- 16770 Sw Edy Rd Ste 216Sherwood, OR 97140-9679Phone: (503) 297-3778Fax: (503) 297-7853
- 19250 Sw 65th Ave Ste 135Tualatin, OR 97062-7745Phone: (503) 692-8560Fax: (503) 692-8562
Registry dates
- Enumerated
- 2015-05-25
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.