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Aiden Thomas Gregg
Peer Specialist in Beaverton, Oregon
NPI 1225799844

Aiden Thomas Gregg is a Peer Specialist based in Portland, OR. Aiden Thomas Gregg practices in Beaverton, OR. The NPI Number for Aiden Thomas Gregg is 1225799844 and holds a License No. (Oregon).

The current practice location address for Aiden Thomas Gregg is 12655 Sw Center St Ste 100, Beaverton, OR and can be reached out via phone at 503-828-3402. You can also correspond with Aiden Thomas Gregg through the mailing address at 6404 SW 30TH AVE APT 61, PORTLAND, OR - 97239-1065 (mailing address contact number: ).

Location: 12655 Sw Center St Ste 100, Beaverton, OR, 97239-1065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225799844
Provider Name
Aiden Thomas Gregg
Credential
Provider Entity Type
Individual
Gender
Male
Address
12655 Sw Center St Ste 100, Beaverton, OR, 97239-1065
Phone Number
503-828-3402
Fax Number
Provider Enumeration Date
01/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12655 Sw Center St Ste 100
City
Beaverton
State
Oregon
Zip
97005-1600
Phone Number
503-828-3402
Fax Number
person
Provider Business Mailing Address Details
Address
6404 Sw 30Th Ave Apt 61
City
Portland
State
Oregon
Zip
97239-1065
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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