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Michael Henry, PWS
Peer Specialist in Grand Ronde, Oregon
NPI 1154104800

Michael Henry is a Peer Specialist based in Grand Ronde, OR. Michael Henry practices in Grand Ronde, OR and has the professional credentials of PWS. The NPI Number for Michael Henry is 1154104800 and holds a License No. THW000109397 (Oregon).

The current practice location address for Michael Henry is 9605 Grand Ronde Rd, Grand Ronde, OR and can be reached out via phone at 503-879-2060.

Location: 9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154104800
Provider Name
Michael Henry
Credential
PWS
Provider Entity Type
Individual
Gender
Male
Address
9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Phone Number
503-879-2060
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9605 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2060
Fax Number
person
Provider Business Mailing Address Details
Address
9605 Grand Ronde Rd
City
Grand Ronde
State
Oregon
Zip
97347-9712
Phone Number
503-879-2060
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000109397 (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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