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Jaime Ingram
Peer Specialist in Coos Bay, Oregon
NPI 1316705544

Jaime Ingram is a Peer Specialist based in North Bend, OR. Jaime Ingram practices in Coos Bay, OR. The NPI Number for Jaime Ingram is 1316705544 and holds a License No. (Oregon).

The current practice location address for Jaime Ingram is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-756-3111. You can also correspond with Jaime Ingram through the mailing address at 1942 SHERIDAN AVE, NORTH BEND, OR - 97459-3416 (mailing address contact number: ).

Location: 155 S Empire Blvd, Coos Bay, OR, 97459-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316705544
Provider Name
Jaime Ingram
Credential
Provider Entity Type
Individual
Gender
Female
Address
155 S Empire Blvd, Coos Bay, OR, 97459-3416
Phone Number
541-756-3111
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-756-3111
Fax Number
person
Provider Business Mailing Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-756-3111
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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