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Leonard Duane Foreman JR.
Peer Specialist in Coos Bay, Oregon
NPI 1417715566

Leonard Duane Foreman JR. is a Peer Specialist based in North Bend, OR. Leonard Duane Foreman JR. practices in Coos Bay, OR. The NPI Number for Leonard Duane Foreman JR. is 1417715566 and holds a License No. (Oregon).

The current practice location address for Leonard Duane Foreman JR. is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-756-3111.

Location: 155 S Empire Blvd, Coos Bay, OR, 97459-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417715566
Provider Name
Leonard Duane Foreman JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
155 S Empire Blvd, Coos Bay, OR, 97459-3416
Phone Number
541-756-3111
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-756-3111
Fax Number
person
Provider Business Mailing Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-756-3111
Fax Number
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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