Individual provider Active NPI

Jennessa Kathleen Ruth Guzman Russ

  • Doula
  • Portland, OR
National Provider Identifier
1083527329
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
BDC.BD.70163471 Issued in WA
Practice address
14355 SW Beef Bend Rd Apt 3
Portland, OR 97224-1937
Phone
(503) 217-9560
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X BDC.BD.70163471 WA Primary

Addresses

Primary practice location

14355 SW Beef Bend Rd Apt 3
Portland, OR 97224-1937

Mailing address

14355 SW Beef Bend Rd Apt 3
Portland, OR 97224-1937
Phone (503) 217-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1083527329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW BEEF BEND RD APT 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972241937",
            "telephone_number": "503-217-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW BEEF BEND RD APT 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972241937",
            "telephone_number": "503-217-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "JENNESSA",
        "middle_name": "KATHLEEN RUTH GUZMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "BDC.BD.70163471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.