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Bryan Richard Diaz, CRM
Peer Specialist in Portland, Oregon
NPI 1215791876

Bryan Richard Diaz is a Peer Specialist based in Portland, OR. Bryan Richard Diaz practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Bryan Richard Diaz is 1215791876 and holds a License No. 23-CRM-2748 (Oregon).

The current practice location address for Bryan Richard Diaz is 6828 Se Holgate Blvd, Portland, OR and can be reached out via phone at 503-795-3987.

Location: 6828 Se Holgate Blvd, Portland, OR, 97206-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215791876
Provider Name
Bryan Richard Diaz
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
6828 Se Holgate Blvd, Portland, OR, 97206-3504
Phone Number
503-795-3987
Fax Number
Provider Enumeration Date
02/13/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6828 Se Holgate Blvd
City
Portland
State
Oregon
Zip
97206-3504
Phone Number
503-795-3987
Fax Number
person
Provider Business Mailing Address Details
Address
6828 Se Holgate Blvd
City
Portland
State
Oregon
Zip
97206-3504
Phone Number
503-795-3987
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
23-CRM-2748 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
261QR0800X
License No.
23-CRM-2748 (Oregon)
Definition
Definition to come...
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