Michael Eastwood
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1417691908
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1417691908
- Entity type
- Individual (NPI-1)
- Name
- Michael Eastwood
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
650 S Peoria AveTulsa, OK 74120-4429
Phone 918-327-1933 · Fax 918-560-1399
Mailing address
2128 S 76th East PlTulsa, OK 74129-2436
Phone 918-327-1933
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