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Jennifer B Brock
Peer Specialist in Boardman, Oregon
NPI 1467197509

Jennifer B Brock is a Peer Specialist based in Boardman, OR. Jennifer B Brock practices in Boardman, OR. The NPI Number for Jennifer B Brock is 1467197509 and holds a License No. THW000004247 (Oregon).

The current practice location address for Jennifer B Brock is 71840 Meadow Loop, Boardman, OR and can be reached out via phone at 541-303-4658.

Location: 71840 Meadow Loop, Boardman, OR, 97818-0245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467197509
Provider Name
Jennifer B Brock
Credential
Provider Entity Type
Individual
Gender
Female
Address
71840 Meadow Loop, Boardman, OR, 97818-0245
Phone Number
541-303-4658
Fax Number
Provider Enumeration Date
05/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
71840 Meadow Loop
City
Boardman
State
Oregon
Zip
97818-9668
Phone Number
541-303-4658
Fax Number
person
Provider Business Mailing Address Details
Address
71840 Meadow Loop
City
Boardman
State
Oregon
Zip
97818-9668
Phone Number
541-303-4658
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000004247 (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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