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

Mrs. Jennifer Goodrich, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1174002976

Mrs. Jennifer Goodrich, AGACNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Providence Health and Services - Oregon, a 218-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201807115NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 201807115NP-PP (OR)

Record details

NPI number1174002976
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services - Oregon — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Portland