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Natasha Rae Worden, PEERSUPPORT
Peer Specialist in Grand Ronde, Oregon
NPI 1063107308

Natasha Rae Worden is a Peer Specialist based in Grand Ronde, OR. Natasha Rae Worden practices in Grand Ronde, OR and has the professional credentials of PEERSUPPORT. The NPI Number for Natasha Rae Worden is 1063107308 and holds a License No. THW000107177 (Oregon).

The current practice location address for Natasha Rae Worden is 9605 Grand Ronde Rd, Grand Ronde, OR and can be reached out via phone at 503-879-2297.

Location: 9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063107308
Provider Name
Natasha Rae Worden
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Female
Address
9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Phone Number
503-879-2297
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9605 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2297
Fax Number
person
Provider Business Mailing Address Details
Address
9605 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2297
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000107177 (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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