Individual provider · Type 1 NPI

Jennifer Goodrich, AGACNP-BC

Gerontology Nurse Practitioner · Portland, OR

NPI number 1174002976 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X201807115NP-PP (OR)
Gerontology Nurse Practitioner Primary 363LG0600X201807115NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1174002976

Jennifer Goodrich, AGACNP-BC's National Provider Identifier is 1174002976, issued on Aug 13, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Jan 29, 2021.