Angela Cave is a Peer Specialist based in Portland, OR. Angela Cave practices in Portland, OR. The NPI Number for Angela Cave is 1003283078 and holds a License No. 16-07-09 (Oregon).
The current practice location address for Angela Cave is 16420 Se Division St, Portland, OR and can be reached out via phone at 503-762-3130.
Location: 16420 Se Division St, Portland, OR, 97236-1987
Provider Profile Details
NPI Number
1003283078
Provider Name
Angela Cave
Credential
Provider Entity Type
Individual
Gender
Female
Address
16420 Se Division St, Portland, OR, 97236-1987
Phone Number
503-762-3130
Fax Number
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16-07-09 | 01 | OR | ACCBO |
| 15-CRM-114 | 01 | OR | ACCBO |
Provider Business Practice Location Address Details
Address
16420 Se Division St
City
State
Zip
97236-1987
Phone Number
503-762-3130
Fax Number
Provider Business Mailing Address Details
Address
16420 Se Division St
City
State
Zip
97236-1987
Phone Number
503-762-3130
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
15-CRM-115 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
16-07-09 (Oregon)
Definition
Definition to come...
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