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

Mrs. Jennifer Rose Witten, NP

Individual provider Nurse Practitioner · NPI 1164113064

Mrs. Jennifer Rose Witten, NP is a Nurse Practitioner in Tigard, Oregon. Qualified in 2023, 3 years ago. Licensed in Arizona and Oregon.

Years since qualifying
3
Licensed in
AZ, OR
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

12540 SW Main St Ste 202
Tigard, OR 97223-6198
Phone: (503) 906-9995
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 10062194 (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 293252 (AZ)

Record details

NPI number1164113064
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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