Healthcare Provider Details

I. General information

NPI: 1659949444
Provider Name (Legal Business Name): JENNIFER L OFFER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 NW 11TH ST
HERMISTON OR
97838-6600
US

IV. Provider business mailing address

427 THIEL RD
WALLA WALLA WA
99362-6293
US

V. Phone/Fax

Practice location:
  • Phone: 541-567-2536
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMSW-36818
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberM17499
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: