Active NPIIndividual provider

Jordan Avila

Peer Specialist in Bend, Oregon

NPI Number1346982667
Practice location
1128 NW Harriman St, Bend, OR 97703-1947
Fax
541-322-7565
Last updated
April 7, 2022

Jordan Avila is a Peer Specialist based in Bend, OR. The NPI number for Jordan Avila is 1346982667. The current practice location address is 1128 NW Harriman St, Bend, OR 97703-1947 and the office can be reached by phone at 541-322-7500 and by fax at 541-322-7565. The NPI was assigned on April 7, 2022 and the record was last updated in NPPES on April 7, 2022.

●Provider Profile Details

NPI Number
1346982667
Provider Name
Jordan Avila
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Enumeration Date
April 7, 2022
Last Update Date
April 7, 2022
Certification Date
April 7, 2022
NPI Status
Active

◉Business Practice Location Address

Address
1128 NW Harriman St
Bend, OR 97703-1947
City
Bend
State
Oregon
ZIP
97703-1947
Country
US
Phone Number
541-322-7500
Fax Number
541-322-7565

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✉Business Mailing Address

Address
2577 NE Courtney Drive
Bend, OR 97701-7638
City
Bend
State
OR
ZIP
97701-7638
Phone Number
541-322-7565

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Peer Specialist175T00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jordan Avila?

The NPI number of Jordan Avila is 1346982667. It was assigned on April 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Jordan Avila?

Jordan Avila is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Jordan Avila practice?

The practice location is 1128 NW Harriman St, Bend, OR 97703-1947. The office can be reached at 541-322-7500 (phone) or 541-322-7565 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346982667 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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