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Dondrae Fair SR., CRM
Peer Specialist in Portland, Oregon
NPI 1174925366

Dondrae Fair SR. is a Peer Specialist based in Portland, OR. Dondrae Fair SR. practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Dondrae Fair SR. is 1174925366 and holds a License No. 14.CRM.008 (Oregon).

The current practice location address for Dondrae Fair SR. is 3910 Se Stark St, Portland, OR and can be reached out via phone at 503-764-7445. You can also correspond with Dondrae Fair SR. through the mailing address at 3910 SE STARK, PORTLAND, OR - 97214 (mailing address contact number: ).

Location: 3910 Se Stark St, Portland, OR, 97214
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Provider Profile Details
NPI Number
1174925366
Provider Name
Dondrae Fair SR.
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
3910 Se Stark St, Portland, OR, 97214
Phone Number
503-764-7445
Fax Number
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3910 Se Stark St
City
State
Zip
97214-3241
Phone Number
503-764-7445
Fax Number
person
Provider Business Mailing Address Details
Address
3910 Se Stark St
City
State
Zip
97214-3241
Phone Number
503-764-7445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
14.CRM.008 (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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