Provider Demographics
NPI:1235919648
Name:TRIGG, JENNIFER (ND)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:TRIGG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 SW CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-3720
Mailing Address - Country:US
Mailing Address - Phone:172-087-6890
Mailing Address - Fax:
Practice Address - Street 1:313 N HOLMAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-2139
Practice Address - Country:US
Practice Address - Phone:563-447-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5021175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath