Individual provider · Type 1 NPI

Jenifer Leavenworth, THW-PSS

Peer Specialist · Milwaukie, OR

NPI number 1538056791 Active

Practice location

6605 SE Lake Rd
Milwaukie, OR 97222-2161

Call (503) 655-8471 Map

Mailing address

13333 SW 68th Pkwy Ste 320
Tigard, OR 97223-9196

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1538056791

Jenifer Leavenworth, THW-PSS's National Provider Identifier is 1538056791, issued on Jun 20, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Milwaukie, OR. The record was last updated on Jun 20, 2025.