Neurodivergent Peer Support LLC
Peer Specialist in Portland, OR. Organization (NPI-2).
NPI number1316631914
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1316631914
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurodivergent Peer Support LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1825 Se 50th Ave Apt 107Portland, OR 97215-3235
Phone 619-925-1637
Mailing address
1825 Se 50th Ave Apt 107Portland, OR 97215-3235
Phone 619-925-1637
Authorized official
Rebecca Sheeler
Founder
6199251653
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