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Brandt Owen Quinn Minthorn, CRM
Peer Specialist in Pendleton, Oregon
NPI 1437862653

Brandt Owen Quinn Minthorn is a Peer Specialist based in Pendleton, OR. Brandt Owen Quinn Minthorn practices in Pendleton, OR and has the professional credentials of CRM. The NPI Number for Brandt Owen Quinn Minthorn is 1437862653 and holds a License No. 22-CRM-1440 (Oregon).

The current practice location address for Brandt Owen Quinn Minthorn is 200 Se Hailey Ave Ste 106, Pendleton, OR and can be reached out via phone at 541-429-8844 and via fax at 541-429-8822.

Location: 200 Se Hailey Ave Ste 106, Pendleton, OR, 97801-0882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437862653
Provider Name
Brandt Owen Quinn Minthorn
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
200 Se Hailey Ave Ste 106, Pendleton, OR, 97801-0882
Phone Number
541-429-8844
Fax Number
541-429-8822
Provider Enumeration Date
01/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22-CRM-1440 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
200 Se Hailey Ave Ste 106
City
Pendleton
State
Oregon
Zip
97801-3072
Phone Number
541-429-8844
Fax Number
541-429-8822
person
Provider Business Mailing Address Details
Address
200 Se Hailey Ave Ste 106
City
Pendleton
State
Oregon
Zip
97801-3072
Phone Number
541-429-8844
Fax Number
541-429-8822
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
22-CRM-1440 (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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