Jeremy Gordon Allen
Peer Specialist in Salem, OR. Individual provider (NPI-1).
NPI number1003308917
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1003308917
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Gordon Allen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2018
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
2555 Silverton Rd NeSalem, OR 97301-0837
Phone 971-283-2776
Mailing address
1115 Madison St Ne # 222Salem, OR 97301-7862
Phone 971-283-2776
Other practice locations
1115 Madison St Ne # 222
Salem, OR 97301-7862
Salem, OR 97301-7862
Phone 971-283-2776
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All 305 Peer Specialist providers in Salem · All 8,143 providers in Salem
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