IndividualActive
Jennifer Lietzke, M.D.
NPI 1699701631 · Family Medicine Physician · Beaverton, OR
Provider details
- NPI number
- 1699701631
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD28993 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2935 Sw Cedar Hills Blvd
Beaverton, OR 97005-1342
Phone: (503) 352-6000
Fax: (503) 352-6080
Street-level locationGet directions
Mailing address
Po Box 6149
Beaverton, OR 97007-0149
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2018-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.