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Diana Raquel Inthavong
Peer Specialist in Ontario, Oregon
NPI 1346719317

Diana Raquel Inthavong is a Peer Specialist based in Ontario, OR. Diana Raquel Inthavong practices in Ontario, OR. The NPI Number for Diana Raquel Inthavong is 1346719317 and holds a License No. (Oregon).

The current practice location address for Diana Raquel Inthavong is 702 Sunset Dr, Ontario, OR and can be reached out via phone at 541-889-9167 and via fax at 541-889-7873.

Location: 702 Sunset Dr, Ontario, OR, 97914-3121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346719317
Provider Name
Diana Raquel Inthavong
Credential
Provider Entity Type
Individual
Gender
Female
Address
702 Sunset Dr, Ontario, OR, 97914-3121
Phone Number
541-889-9167
Fax Number
541-889-7873
Provider Enumeration Date
11/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
702 Sunset Dr
City
Ontario
State
Oregon
Zip
97914-3121
Phone Number
541-889-9167
Fax Number
541-889-7873
person
Provider Business Mailing Address Details
Address
702 Sunset Dr
City
Ontario
State
Oregon
Zip
97914-3121
Phone Number
541-889-9167
Fax Number
541-889-7873
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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