Iyanna Jenelle Jimenez, CRM/PSS/PWS is a
Peer Specialist based in Beaverton, Oregon. Iyanna Jenelle Jimenez is licensed to practice in * (Not Available) (license number ) and her current practice location is
3800 Sw Cedar Hills Blvd Ste 288, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 924-2448.
NPI number for Iyanna Jenelle Jimenez is 1174245146 and her current mailing address is 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174245146.
Healthcare Provider's Profile
Full Name | Iyanna Jenelle Jimenez |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174245146
- Provider Enumeration Date: 09/15/2022
- Last Update Date: 02/23/2024
Medical Identifiers
Medical identifiers for Iyanna Jenelle Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174245146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iyanna Jenelle Jimenez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Iyanna Jenelle Jimenez, CRM/PSS/PWS 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, OR 97005-2035 Ph: (503) 924-2448 | Iyanna Jenelle Jimenez, CRM/PSS/PWS 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, OR 97005-2035 Ph: (503) 924-2448 |
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