Jerome Cross - Portland, OR

Jerome Cross

Peer Specialist in Portland, Oregon

NPI 1275301897

Jerome Cross is a Peer Specialist based in Portland, OR. Jerome Cross practices in Portland, OR. The NPI Number for Jerome Cross is 1275301897 and holds a License No. 22-CRM-1117 (Oregon).

The current practice location address for Jerome Cross is 33 Nw Broadway, Portland, OR and can be reached out via phone at 503-228-7134 and via fax at 503-501-5679.

Location: 33 Nw Broadway, Portland, OR, 97209-3609

NPI Number

1275301897

Provider Name

Jerome Cross

Credential

Provider Entity Type

Individual

Gender

Male

Address

33 Nw Broadway, Portland, OR, 97209-3609

Phone Number

503-228-7134

Fax Number

503-501-5679

Provider Enumeration Date

12/13/2023

Last Update Date

03/10/2024

Address

33 Nw Broadway

City

Portland

State

Oregon

Zip

97209-3580

Phone Number

503-228-7134

Fax Number

503-501-5679

Address

33 Nw Broadway

City

Portland

State

Oregon

Zip

97209-3580

Phone Number

503-228-7134

Fax Number

503-501-5679

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

22-CRM-1117 (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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