person
Mrs. Lisa Ann Mungenast, CRM,PSS,THW
Peer Specialist in Portland, Oregon
NPI 1215636303

Lisa Ann Mungenast is a Peer Specialist based in Portland, OR. Lisa Ann Mungenast practices in Portland, OR and has the professional credentials of CRM,PSS,THW. The NPI Number for Lisa Ann Mungenast is 1215636303 and holds a License No. 107729 (Oregon).

The current practice location address for Lisa Ann Mungenast is 1030 Ne Couch St, Portland, OR and can be reached out via phone at 503-239-8400.

Location: 1030 Ne Couch St, Portland, OR, 97214-1328
person
Provider Profile Details
NPI Number
1215636303
Provider Name
Lisa Ann Mungenast
Credential
CRM,PSS,THW
Provider Entity Type
Individual
Gender
Female
Address
1030 Ne Couch St, Portland, OR, 97214-1328
Phone Number
503-239-8400
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1030 Ne Couch St
City
State
Zip
97232-3067
Phone Number
503-239-8400
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Ne Couch St
City
State
Zip
97232-3067
Phone Number
503-239-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
107729 (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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