Individual
MRS. JENNIFER PATRICE CHECKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22610 NE SCHUYLER ST, FAIRVIEW, OR 97024-2612
(503) 810-5213
Mailing address
22610 NE SCHUYLER ST, FAIRVIEW, OR 97024-2612
(503) 810-5213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407939531
—
OR
Enumeration date
10/23/2006
Last updated
11/02/2022
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