Individual
JENNIFER ANN RAWHOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3939 NE HANCOCK ST STE 115, PORTLAND, OR 97212-5321
(971) 222-4976
(971) 346-4477
Mailing address
5112 NE 27TH AVE, PORTLAND, OR 97211-6333
(971) 222-4976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
L7222
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210418
—
OR
Enumeration date
04/20/2016
Last updated
06/04/2021
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