Luke Winetrout is a Peer Specialist based in Medford, OR. Luke Winetrout practices in Medford, OR. The NPI Number for Luke Winetrout is 1134998248 and holds a License No. 000110122 (Oregon).
The current practice location address for Luke Winetrout is 140 S Holly St, Medford, OR and can be reached out via phone at 458-226-0963.
Location: 140 S Holly St, Medford, OR, 97501-3113
Provider Profile Details
NPI Number
1134998248
Provider Name
Luke Winetrout
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 S Holly St, Medford, OR, 97501-3113
Phone Number
458-226-0963
Fax Number
Provider Enumeration Date
12/29/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
140 S Holly St
City
State
Zip
97501-3113
Phone Number
458-226-0963
Fax Number
Provider Business Mailing Address Details
Address
140 S Holly St
City
State
Zip
97501-3113
Phone Number
458-226-0963
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
000110122 (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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