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Ms. Kathleen Susanne Gamble, THW,PSS
Peer Specialist in Mill City, Oregon
NPI 1174196034

Kathleen Susanne Gamble is a Peer Specialist based in Mill City, OR. Kathleen Susanne Gamble practices in Mill City, OR and has the professional credentials of THW,PSS. The NPI Number for Kathleen Susanne Gamble is 1174196034 and holds a License No. 105011 (Oregon).

The current practice location address for Kathleen Susanne Gamble is 280 Ne Santiam Blvd, Mill City, OR and can be reached out via phone at 971-332-5676. You can also correspond with Kathleen Susanne Gamble through the mailing address at PO BOX 875, MILL CITY, OR - 97360-0875 (mailing address contact number: 971-388-8841).

Location: 280 Ne Santiam Blvd, Mill City, OR, 97360-0875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174196034
Provider Name
Kathleen Susanne Gamble
Credential
THW,PSS
Provider Entity Type
Individual
Gender
Female
Address
280 Ne Santiam Blvd, Mill City, OR, 97360-0875
Phone Number
971-332-5676
Fax Number
Provider Enumeration Date
07/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105011 01 OR OREGON HEALTH ASSOCIATION
institution
Provider Business Practice Location Address Details
Address
280 Ne Santiam Blvd
City
Mill City
State
Oregon
Zip
97360
Phone Number
971-332-5676
Fax Number
person
Provider Business Mailing Address Details
Address
280 Ne Santiam Blvd
City
Mill City
State
Oregon
Zip
97360
Phone Number
971-332-5676
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
105011 (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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