Elyjah Jonathan Fritz-rafael - Portland, OR

Elyjah Jonathan Fritz-rafael

Peer Specialist in Portland, Oregon

NPI 1225742182

Elyjah Jonathan Fritz-rafael is a Peer Specialist based in Portland, OR. Elyjah Jonathan Fritz-rafael practices in Portland, OR. The NPI Number for Elyjah Jonathan Fritz-rafael is 1225742182 and holds a License No. 22-CRM-1038 (Oregon).

The current practice location address for Elyjah Jonathan Fritz-rafael is 2720 Ne Flanders St, Portland, OR and can be reached out via phone at 503-238-5203.

Location: 2720 Ne Flanders St, Portland, OR, 97232-3160

NPI Number

1225742182

Provider Name

Elyjah Jonathan Fritz-rafael

Credential

Provider Entity Type

Individual

Gender

Male

Address

2720 Ne Flanders St, Portland, OR, 97232-3160

Phone Number

503-238-5203

Fax Number

Provider Enumeration Date

01/05/2023

Last Update Date

03/10/2024

Address

2720 Ne Flanders St

City

Portland

State

Oregon

Zip

97232-3160

Phone Number

503-238-5203

Fax Number

Address

2720 Ne Flanders St

City

Portland

State

Oregon

Zip

97232-3160

Phone Number

503-238-5203

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

22-CRM-1038 ()

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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