Katie Longshore is a Peer Specialist based in Dallas, OR. Katie Longshore practices in Dallas, OR. The NPI Number for Katie Longshore is 1407504418 and holds a License No. (Oregon).
The current practice location address for Katie Longshore is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289.
Location: 182 Sw Academy St, Dallas, OR, 97338-1996
Provider Profile Details
NPI Number
1407504418
Provider Name
Katie Longshore
Credential
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-1996
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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