person
Kelli Shaw
Peer Specialist in Portland, Oregon
NPI 1306328307

Kelli Shaw is a Peer Specialist based in Portland, OR. Kelli Shaw practices in Portland, OR. The NPI Number for Kelli Shaw is 1306328307 and holds a License No. (Oregon).

The current practice location address for Kelli Shaw is 14600 Nw Cornell Rd, Portland, OR and can be reached out via phone at 503-645-3581.

Location: 14600 Nw Cornell Rd, Portland, OR, 97229-5442
person
Provider Profile Details
NPI Number
1306328307
Provider Name
Kelli Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
14600 Nw Cornell Rd, Portland, OR, 97229-5442
Phone Number
503-645-3581
Fax Number
Provider Enumeration Date
09/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14600 Nw Cornell Rd
City
State
Zip
97229-5442
Phone Number
503-645-3581
Fax Number
person
Provider Business Mailing Address Details
Address
14600 Nw Cornell Rd
City
State
Zip
97229-5442
Phone Number
503-645-3581
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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