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Kelly D Degoede, CRM
Peer Specialist in Bend, Oregon
NPI 1083183370

Kelly D Degoede is a Peer Specialist based in Bend, OR. Kelly D Degoede practices in Bend, OR and has the professional credentials of CRM. The NPI Number for Kelly D Degoede is 1083183370 and holds a License No. 18-CRM-353 (Oregon).

The current practice location address for Kelly D Degoede is 1435 Ne 4Th St Ste B, Bend, OR and can be reached out via phone at 541-306-4466 and via fax at 541-550-2011.

Location: 1435 Ne 4Th St Ste B, Bend, OR, 97701-4268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083183370
Provider Name
Kelly D Degoede
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
1435 Ne 4Th St Ste B, Bend, OR, 97701-4268
Phone Number
541-306-4466
Fax Number
541-550-2011
Provider Enumeration Date
11/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18-CRM-353 05 OR
institution
Provider Business Practice Location Address Details
Address
1435 Ne 4Th St Ste B
City
Bend
State
Oregon
Zip
97701-4268
Phone Number
541-306-4466
Fax Number
541-550-2011
person
Provider Business Mailing Address Details
Address
1435 Ne 4Th St Ste B
City
Bend
State
Oregon
Zip
97701-4268
Phone Number
541-306-4466
Fax Number
541-550-2011
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
18-CRM-353 (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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