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Chandler Cruise, PEERSUPPORT
Peer Specialist in Madras, Oregon
NPI 1427558485

Chandler Cruise is a Peer Specialist based in Madras, OR. Chandler Cruise practices in Madras, OR and has the professional credentials of PEERSUPPORT. The NPI Number for Chandler Cruise is 1427558485 and holds a License No. THW000002485 (Oregon).

The current practice location address for Chandler Cruise is 850 Sw 4Th St, Madras, OR and can be reached out via phone at 541-475-6575 and via fax at 541-504-1195.

Location: 850 Sw 4Th St, Madras, OR, 97741-9628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427558485
Provider Name
Chandler Cruise
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Male
Address
850 Sw 4Th St, Madras, OR, 97741-9628
Phone Number
541-475-6575
Fax Number
541-504-1195
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
850 Sw 4Th St
City
Madras
State
Oregon
Zip
97741-9628
Phone Number
541-475-6575
Fax Number
541-504-1195
person
Provider Business Mailing Address Details
Address
850 Sw 4Th St
City
Madras
State
Oregon
Zip
97741-9628
Phone Number
541-475-6575
Fax Number
541-504-1195
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000002485 (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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