Madeline Shepherd - Portland, OR

Madeline Shepherd

Peer Specialist in Portland, Oregon

NPI 1063001550

Madeline Shepherd is a Peer Specialist based in Portland, OR. Madeline Shepherd practices in Portland, OR. The NPI Number for Madeline Shepherd is 1063001550 and holds a License No. 20-CRM-147 (Oregon).

The current practice location address for Madeline Shepherd is 1316 Se 12Th Ave, Portland, OR and can be reached out via phone at 866-231-3007.

Location: 1316 Se 12Th Ave, Portland, OR, 97214-3604

NPI Number

1063001550

Provider Name

Madeline Shepherd

Credential

Provider Entity Type

Individual

Gender

Female

Address

1316 Se 12Th Ave, Portland, OR, 97214-3604

Phone Number

866-231-3007

Fax Number

Provider Enumeration Date

01/11/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
20-CRM-147	01	OR	MHACBO

Address

1316 Se 12Th Ave

City

Portland

State

Oregon

Zip

97214-3604

Phone Number

866-231-3007

Fax Number

Address

1316 Se 12Th Ave

City

Portland

State

Oregon

Zip

97214-3604

Phone Number

866-231-3007

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

20-CRM-147 (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.

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