Healthcare Provider Details

I. General information

NPI: 1437587763
Provider Name (Legal Business Name): JENNIFER SKORCH MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 FALCON CREST DR STE 200
REDMOND OR
97756-5014
US

IV. Provider business mailing address

7515 FALCON CREST DR STE 200
REDMOND OR
97756-5014
US

V. Phone/Fax

Practice location:
  • Phone: 541-316-9163
  • Fax:
Mailing address:
  • Phone: 541-316-9163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT3232
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60693949
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: