Mr. Nathaniel Wade Thomas, CRM, PSS - Portland, OR

Mr. Nathaniel Wade Thomas, CRM,PSS

Peer Specialist in Portland, Oregon

NPI 1508509068

Nathaniel Wade Thomas is a Peer Specialist based in Portland, OR. Nathaniel Wade Thomas practices in Portland, OR and has the professional credentials of CRM,PSS. The NPI Number for Nathaniel Wade Thomas is 1508509068 and holds a License No. 20-CRM-150 (Oregon).

The current practice location address for Nathaniel Wade Thomas is 7712 Sw 45Th Ave Apt 71, Portland, OR and can be reached out via phone at 503-962-0194.

Location: 7712 Sw 45Th Ave Apt 71, Portland, OR, 97219-1591

NPI Number

1508509068

Provider Name

Nathaniel Wade Thomas

Credential

CRM,PSS

Provider Entity Type

Individual

Gender

Male

Address

7712 Sw 45Th Ave Apt 71, Portland, OR, 97219-1591

Phone Number

503-962-0194

Fax Number

Provider Enumeration Date

04/13/2022

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
20-CRM-150	01	OR	MHACBO

Address

7712 Sw 45Th Ave Apt 71

City

Portland

State

Oregon

Zip

97219-1591

Phone Number

503-962-0194

Fax Number

Address

7712 Sw 45Th Ave Apt 71

City

Portland

State

Oregon

Zip

97219-1591

Phone Number

503-962-0194

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

20-CRM-150 (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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