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Dieuson Alix
Peer Specialist in Milwaukie, Oregon
NPI 1447998745

Dieuson Alix is a Peer Specialist based in Happy Valley, OR. Dieuson Alix practices in Milwaukie, OR. The NPI Number for Dieuson Alix is 1447998745 and holds a License No. THW000106457 (Oregon).

The current practice location address for Dieuson Alix is 11097 Se 21St Ave, Milwaukie, OR and can be reached out via phone at 971-334-9295.

Location: 11097 Se 21St Ave, Milwaukie, OR, 97086-4510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447998745
Provider Name
Dieuson Alix
Credential
Provider Entity Type
Individual
Gender
Male
Address
11097 Se 21St Ave, Milwaukie, OR, 97086-4510
Phone Number
971-334-9295
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000106457 05 OR
institution
Provider Business Practice Location Address Details
Address
11097 Se 21St Ave
City
Milwaukie
State
Oregon
Zip
97222-7640
Phone Number
971-334-9295
Fax Number
person
Provider Business Mailing Address Details
Address
11097 Se 21St Ave
City
Milwaukie
State
Oregon
Zip
97222-7640
Phone Number
971-334-9295
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000106457 (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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