Healthcare Provider Details

I. General information

NPI: 1407994536
Provider Name (Legal Business Name): JENNIFER LINDSEY OLSEN CADC,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LINDSEY GUENTHER BS

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24499 SW GRAHAMS FERRY RD
WILSONVILLE OR
97070-7523
US

IV. Provider business mailing address

1802 N PINE ST APT J200
CANBY OR
97013-4477
US

V. Phone/Fax

Practice location:
  • Phone: 503-570-6559
  • Fax:
Mailing address:
  • Phone: 503-570-6559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number06-07-35
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: