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JENNIFER LUSTBADER CMR
NPI 1639555600
Peer Specialist in Beaverton, OR

Active since July 31, 2015
14760 SW FOREST DR, BEAVERTON, OR 97007(503) 860-7481 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Lustbader Cmr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LUSTBADER CMR (NPI 1639555600) is an individual peer specialist in Beaverton, Oregon, licensed in Oregon (15-CRM-111) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1639555600
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJENNIFER LUSTBADERCredential: CMR
Location Address14760 SW FOREST DRBeaverton, OR 97007-5117
Mailing Address14760 Sw Forest DrBeaverton, OR 97007-5117 · (503) 860-7481
Phone(503) 860-7481
Sole ProprietorYes
Enumeration DateJuly 31, 2015
✔ NPI 1639555600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 15-CRM-111
Definition

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.

14760 SW FOREST DR, Beaverton, OR 97007
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Other Identifiers 1

Other15-CRM-111OR · Undetermined

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Lustbader's NPI number?

The NPI number for Jennifer Lustbader is 1639555600. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Jennifer Lustbader located?

Jennifer Lustbader practices at 14760 SW Forest Dr, Beaverton, OR 97007. The listed phone number is (503) 860-7481.

What is Jennifer Lustbader's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Lustbader was last updated on July 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.