MEDICARE: JENNIFER RICH MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1336265198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RICH MA

Provider Business Mailing Address
First Line	:	2758 SE 52ND AVE
Second Line	:	APT E
City	:	PORTLAND
State	:	OR
Zip	:	97206-1478
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 SW WASHINGTON ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97205-2327
Country	:	US
Telephone Number	:	503-535-1150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	09/11/2025

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Directions to “ JENNIFER RICH MA” Practice Location

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