Healthcare Provider Details

I. General information

NPI: 1962972034
Provider Name (Legal Business Name): JENNIFER APRIL AVEENA MORGAN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16144 SE HAPPY VALLEY TOWN CENTER DR STE 214
HAPPY VALLEY OR
97086-4257
US

IV. Provider business mailing address

16144 SE HAPPY VALLEY TOWN CENTER DR STE 214
HAPPY VALLEY OR
97086-4257
US

V. Phone/Fax

Practice location:
  • Phone: 503-658-7715
  • Fax:
Mailing address:
  • Phone: 503-658-7715
  • Fax: 503-658-7181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4237
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: