Jennifer Mowry, AAS, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13/12-29 Issued in OR

Practice address

12950 SW Pacific Hwy
Suite 235
Tigard, OR 97223-5061

Phone

(503) 624-9545

Fax

(503) 684-0778

NPI assigned

Jan 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Alcohol & Drug Counseling, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Hillsboro, OR
  • NPI 1578840849
  NPD (past)

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1740648252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 SW PACIFIC HWY",
            "address_2": "SUITE 235",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235061",
            "telephone_number": "503-624-9545",
            "fax_number": "503-684-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 SW PACIFIC HWY",
            "address_2": "SUITE 235",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235061",
            "telephone_number": "503-624-9545",
            "fax_number": "503-684-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWRY",
        "first_name": "JENNIFER",
        "credential": "AAS, CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "13/12-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrianne Mottram
• Mount Hood Healthcare LLC
• Mountain West Derm-Blackhart, PLLC
• Laura Stephanie Mourino, ND
• Danielle Ashley Mowe, PA
• Sarah Moyer
• Jayson Moyes
• Aislinn Margaret Gail Muccione
• Regina Mudumi
• Loretta Reina Mueffelman, LPC

• Addiction (Substance Use Disorder) Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.