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Kathryn Broadaway, CRM
Peer Specialist in Prineville, Oregon
NPI 1134871395

Kathryn Broadaway is a Peer Specialist based in Madras, OR. Kathryn Broadaway practices in Prineville, OR and has the professional credentials of CRM. The NPI Number for Kathryn Broadaway is 1134871395 and holds a License No. 21-CRM-766 (Oregon).

The current practice location address for Kathryn Broadaway is 1103 Ne Elm St, Prineville, OR and can be reached out via phone at 541-306-4566 and via fax at 541-512-7090. You can also correspond with Kathryn Broadaway through the mailing address at P.O. BOX MM, MADRAS, OR - 97741 (mailing address contact number: 541-777-7847).

Location: 1103 Ne Elm St, Prineville, OR, 97741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134871395
Provider Name
Kathryn Broadaway
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
1103 Ne Elm St, Prineville, OR, 97741
Phone Number
541-306-4566
Fax Number
541-512-7090
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1103 Ne Elm St
City
Prineville
State
Oregon
Zip
97754-1664
Phone Number
541-306-4566
Fax Number
541-512-7090
person
Provider Business Mailing Address Details
Address
1103 Ne Elm St
City
Prineville
State
Oregon
Zip
97754-1664
Phone Number
541-306-4566
Fax Number
541-512-7090
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-CRM-766 (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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