JENNIFER LYNN WIDDER
NPI 1790594125
Peer Specialist in Redmond, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since December 31, 2024

6396 SW MCVEY AVE, REDMOND, OR 97756(541) 389-1858 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Lynn Widder NPPES

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

JENNIFER LYNN WIDDER (NPI 1790594125) is an individual peer specialist in Redmond, Oregon, licensed in Oregon (112910) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1790594125

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJENNIFER LYNN WIDDER

Location Address6396 SW MCVEY AVERedmond, OR 97756-9069

Mailing Address22350 Calgary DrBend, OR 97702-9216 · (541) 749-8895

Phone(541) 389-1858

Sole ProprietorYes

Enumeration DateDecember 31, 2024

NPPES CertifiedDecember 31, 2024

✔ NPI 1790594125 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 · 112910

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.

6396 SW MCVEY AVE, Redmond, OR 97756

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