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Jonathan R Sprague
Peer Specialist in Astoria, Oregon
NPI 1164015178

Jonathan R Sprague is a Peer Specialist based in Warrenton, OR. Jonathan R Sprague practices in Astoria, OR. The NPI Number for Jonathan R Sprague is 1164015178 and holds a License No. (Oregon).

The current practice location address for Jonathan R Sprague is 115 W Bond St, Astoria, OR and can be reached out via phone at 503-325-5722 and via fax at 503-325-8483.

Location: 115 W Bond St, Astoria, OR, 97146-9371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164015178
Provider Name
Jonathan R Sprague
Credential
Provider Entity Type
Individual
Gender
Male
Address
115 W Bond St, Astoria, OR, 97146-9371
Phone Number
503-325-5722
Fax Number
503-325-8483
Provider Enumeration Date
02/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 W Bond St
City
Astoria
State
Oregon
Zip
97103-6009
Phone Number
503-325-5722
Fax Number
503-325-8483
person
Provider Business Mailing Address Details
Address
115 W Bond St
City
Astoria
State
Oregon
Zip
97103-6009
Phone Number
503-325-5722
Fax Number
503-325-8483
person
Provider's Taxonomy Details 1
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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