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Dawna Bracken
Peer Specialist in Milwaukie, Oregon
NPI 1134871155

Dawna Bracken is a Peer Specialist based in Milwaukie, OR. Dawna Bracken practices in Milwaukie, OR. The NPI Number for Dawna Bracken is 1134871155 and holds a License No. THW000004091 (Oregon).

The current practice location address for Dawna Bracken is 4105 Se International Way Ste 501, Milwaukie, OR and can be reached out via phone at 503-496-3201.

Location: 4105 Se International Way Ste 501, Milwaukie, OR, 97222-8855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134871155
Provider Name
Dawna Bracken
Credential
Provider Entity Type
Individual
Gender
Female
Address
4105 Se International Way Ste 501, Milwaukie, OR, 97222-8855
Phone Number
503-496-3201
Fax Number
Provider Enumeration Date
01/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000004091 05 OR
institution
Provider Business Practice Location Address Details
Address
4105 Se International Way Ste 501
City
Milwaukie
State
Oregon
Zip
97222-8855
Phone Number
503-496-3201
Fax Number
person
Provider Business Mailing Address Details
Address
4105 Se International Way Ste 501
City
Milwaukie
State
Oregon
Zip
97222-8855
Phone Number
503-496-3201
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000004091 (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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