person
Terry Gavin, CRM
Peer Specialist in Portland, Oregon
NPI 1194266643

Terry Gavin is a Peer Specialist based in Portland, OR. Terry Gavin practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Terry Gavin is 1194266643 and holds a License No. 15-CRM-027 (Oregon).

The current practice location address for Terry Gavin is 948 Ne 102Nd Ave Ste 101, Portland, OR and can be reached out via phone at 503-257-0381.

Location: 948 Ne 102Nd Ave Ste 101, Portland, OR, 97220-4064
person
Provider Profile Details
NPI Number
1194266643
Provider Name
Terry Gavin
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
948 Ne 102Nd Ave Ste 101, Portland, OR, 97220-4064
Phone Number
503-257-0381
Fax Number
Provider Enumeration Date
03/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
948 Ne 102Nd Ave Ste 101
City
State
Zip
97220-4064
Phone Number
503-257-0381
Fax Number
person
Provider Business Mailing Address Details
Address
948 Ne 102Nd Ave Ste 101
City
State
Zip
97220-4064
Phone Number
503-257-0381
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
15-CRM-027 (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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