Most Relevant Information
Provider Data
| NPI Number: | 1003519810 |
| Provider Name: | JENNIFER ENRIQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2023 |
| Last Updated: | 03/22/2023 |
Provider Practice Location
326 SE MARLIN AVE
WARRENTON
OR
971469624
Practice Location Phone/Fax
| Phone: | 5033255722 |
| Fax: |
Provider Mailing Location
65 N HIGHWAY 101 STE 204
WARRENTON
OR
971469371
Provider Mailing Phone/Fax
| Phone: | 5033255722 |
| Fax: |