Jacquelle C Davis - Portland, OR

Jacquelle C Davis

Peer Specialist in Portland, Oregon

NPI 1144817586

Jacquelle C Davis is a Peer Specialist based in Portland, OR. Jacquelle C Davis practices in Portland, OR. The NPI Number for Jacquelle C Davis is 1144817586 and holds a License No. (Oregon).

The current practice location address for Jacquelle C Davis is 14600 Nw Cornell Rd, Portland, OR and can be reached out via phone at 503-645-3581.

Location: 14600 Nw Cornell Rd, Portland, OR, 97229-5442

NPI Number

1144817586

Provider Name

Jacquelle C Davis

Credential

Provider Entity Type

Individual

Gender

Female

Address

14600 Nw Cornell Rd, Portland, OR, 97229-5442

Phone Number

503-645-3581

Fax Number

Provider Enumeration Date

12/30/2020

Last Update Date

03/10/2024

Address

14600 Nw Cornell Rd

City

Portland

State

Oregon

Zip

97229-5442

Phone Number

503-645-3581

Fax Number

Address

14600 Nw Cornell Rd

City

Portland

State

Oregon

Zip

97229-5442

Phone Number

503-645-3581

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

()

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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