person
Marvin Young JR.
Peer Specialist in Portland, Oregon
NPI 1134593585

Marvin Young JR. is a Peer Specialist based in Portland, OR. Marvin Young JR. practices in Portland, OR. The NPI Number for Marvin Young JR. is 1134593585 and holds a License No. 15-CRM-110 (Oregon).

The current practice location address for Marvin Young JR. is 10580 Se Washington St, Portland, OR and can be reached out via phone at 971-806-0633.

Location: 10580 Se Washington St, Portland, OR, 97216-2809
person
Provider Profile Details
NPI Number
1134593585
Provider Name
Marvin Young JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
10580 Se Washington St, Portland, OR, 97216-2809
Phone Number
971-806-0633
Fax Number
Provider Enumeration Date
11/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10580 Se Washington St
City
State
Zip
97216-2809
Phone Number
971-806-0633
Fax Number
person
Provider Business Mailing Address Details
Address
10580 Se Washington St
City
State
Zip
97216-2809
Phone Number
971-806-0633
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
15-CRM-110 (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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