JENNIFER LUSTBADER, CMR

Peer Specialist

Active Individual
NPI: 1639555600

Practice Address

14760 SW FOREST DR
Beaverton, OR 97007

Phone: (503) 860-7481

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes 15-CRM-111 (OR)

Frequently Asked Questions

NPI 1639555600 is the National Provider Identifier for JENNIFER LUSTBADER, CMR, a Peer Specialist provider located in Beaverton, OR. This NPI was enumerated on July 31, 2015.
JENNIFER LUSTBADER, CMR practices at 14760 SW FOREST DR, Beaverton, OR 97007.

Quick Facts

NPI
1639555600
Type
Individual
Enumerated
Jul 31, 2015
Last Updated
Jul 31, 2015

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