person
Jason Shad, CRM,PSS
Peer Specialist in Portland, Oregon
NPI 1275114084

Jason Shad is a Peer Specialist based in Portland, OR. Jason Shad practices in Portland, OR and has the professional credentials of CRM,PSS. The NPI Number for Jason Shad is 1275114084 and holds a License No. 21-CRM-417 (Oregon).

The current practice location address for Jason Shad is 1312 Sw Washington St, Portland, OR and can be reached out via phone at 505-535-1151 and via fax at 503-535-1190.

Location: 1312 Sw Washington St, Portland, OR, 97208-3007
person
Provider Profile Details
NPI Number
1275114084
Provider Name
Jason Shad
Credential
CRM,PSS
Provider Entity Type
Individual
Gender
Male
Address
1312 Sw Washington St, Portland, OR, 97208-3007
Phone Number
505-535-1151
Fax Number
503-535-1190
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
505-535-1151
Fax Number
503-535-1190
person
Provider Business Mailing Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
505-535-1151
Fax Number
503-535-1190
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
21-CRM-417 (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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