person
Mr. Milton William Loosmore III, CRM
Peer Specialist in Portland, Oregon
NPI 1316311764

Milton William Loosmore III is a Peer Specialist based in Portland, OR. Milton William Loosmore III practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Milton William Loosmore III is 1316311764 and holds a License No. 15-CRM-173 (Oregon).

The current practice location address for Milton William Loosmore III is 10580 Se Washington St, Portland, OR and can be reached out via phone at 503-737-7365.

Location: 10580 Se Washington St, Portland, OR, 97216-2809
person
Provider Profile Details
NPI Number
1316311764
Provider Name
Milton William Loosmore III
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
10580 Se Washington St, Portland, OR, 97216-2809
Phone Number
503-737-7365
Fax Number
Provider Enumeration Date
11/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 OR
institution
Provider Business Practice Location Address Details
Address
10580 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-737-7365
Fax Number
person
Provider Business Mailing Address Details
Address
10580 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-737-7365
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
15-CRM-173 (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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