person
Michael John Padrta
Peer Specialist in Portland, Oregon
NPI 1083488480

Michael John Padrta is a Peer Specialist based in Tigard, OR. Michael John Padrta practices in Portland, OR. The NPI Number for Michael John Padrta is 1083488480 and holds a License No. (Oregon).

The current practice location address for Michael John Padrta is 12512 Se Stark St, Portland, OR and can be reached out via phone at 503-906-9995.

Location: 12512 Se Stark St, Portland, OR, 97223-6198
person
Provider Profile Details
NPI Number
1083488480
Provider Name
Michael John Padrta
Credential
Provider Entity Type
Individual
Gender
Male
Address
12512 Se Stark St, Portland, OR, 97223-6198
Phone Number
503-906-9995
Fax Number
Provider Enumeration Date
11/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12512 Se Stark St
City
State
Zip
97233-1070
Phone Number
503-906-9995
Fax Number
person
Provider Business Mailing Address Details
Address
12512 Se Stark St
City
State
Zip
97233-1070
Phone Number
503-906-9995
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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