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Benjamin Tayson
Peer Specialist in Grants Pass, Oregon
NPI 1346871555

Benjamin Tayson is a Peer Specialist based in Roseburg, OR. Benjamin Tayson practices in Grants Pass, OR. The NPI Number for Benjamin Tayson is 1346871555 and holds a License No. 19-CRM-277 (Oregon).

The current practice location address for Benjamin Tayson is 356 Ne Beacon Dr, Grants Pass, OR and can be reached out via phone at 541-672-2691. You can also correspond with Benjamin Tayson through the mailing address at PO BOX 1121, ROSEBURG, OR - 97470-0254 (mailing address contact number: ).

Location: 356 Ne Beacon Dr, Grants Pass, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346871555
Provider Name
Benjamin Tayson
Credential
Provider Entity Type
Individual
Gender
Male
Address
356 Ne Beacon Dr, Grants Pass, OR, 97470-0254
Phone Number
541-672-2691
Fax Number
Provider Enumeration Date
01/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
356 Ne Beacon Dr
City
Grants Pass
State
Oregon
Zip
97526-3815
Phone Number
541-672-2691
Fax Number
person
Provider Business Mailing Address Details
Address
356 Ne Beacon Dr
City
Grants Pass
State
Oregon
Zip
97526-3815
Phone Number
541-672-2691
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
19-CRM-277 (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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