Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lustbader, CMR

Individual provider Peer Specialist · NPI 1639555600

Jennifer Lustbader, CMR is a Peer Specialist in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015

Practice location Address checks out

14760 SW Forest Dr
Beaverton, OR 97007-5117
Phone: (503) 860-7481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 15-CRM-111 (OR)

Record details

NPI number1639555600
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMR
Sole proprietorYes
NPI enumeratedJuly 31, 2015
Last updated in NPPESJuly 31, 2015

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