Kaymin Lusk is a Peer Specialist based in Portland, OR. Kaymin Lusk practices in Portland, OR. The NPI Number for Kaymin Lusk is 1134802515 and holds a License No. 23-CRM-1778 (Oregon).
The current practice location address for Kaymin Lusk is 1535 N Williams Ave, Portland, OR and can be reached out via phone at 503-238-2067.
Location: 1535 N Williams Ave, Portland, OR, 97209-3609
Provider Profile Details
NPI Number
1134802515
Provider Name
Kaymin Lusk
Credential
Provider Entity Type
Individual
Gender
Female
Address
1535 N Williams Ave, Portland, OR, 97209-3609
Phone Number
503-238-2067
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1535 N Williams Ave
City
State
Zip
97227-1885
Phone Number
503-238-2067
Fax Number
Provider Business Mailing Address Details
Address
1535 N Williams Ave
City
State
Zip
97227-1885
Phone Number
503-238-2067
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-CRM-1778 ()
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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