Jerry Dale Allen - Portland, OR

Jerry Dale Allen

Peer Specialist in Portland, Oregon

NPI 1356076020

Jerry Dale Allen is a Peer Specialist based in Portland, OR. Jerry Dale Allen practices in Portland, OR. The NPI Number for Jerry Dale Allen is 1356076020 and holds a License No. THW105547 (Oregon).

The current practice location address for Jerry Dale Allen is 1535 N Williams Ave, Portland, OR and can be reached out via phone at 503-238-2003.

Location: 1535 N Williams Ave, Portland, OR, 97209-3609

NPI Number

1356076020

Provider Name

Jerry Dale Allen

Credential

Provider Entity Type

Individual

Gender

Male

Address

1535 N Williams Ave, Portland, OR, 97209-3609

Phone Number

503-238-2003

Fax Number

Provider Enumeration Date

07/18/2022

Last Update Date

03/10/2024

Address

1535 N Williams Ave

City

Portland

State

Oregon

Zip

97227-1885

Phone Number

503-238-2003

Fax Number

Address

1535 N Williams Ave

City

Portland

State

Oregon

Zip

97227-1885

Phone Number

503-238-2003

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

THW105547 (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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