person
Richard A Dutra
Peer Specialist in Salem, Oregon
NPI 1528759610

Richard A Dutra is a Peer Specialist based in Salem, OR. Richard A Dutra practices in Salem, OR. The NPI Number for Richard A Dutra is 1528759610 and holds a License No. (Oregon).

The current practice location address for Richard A Dutra is 2995 Ryan Dr Se Ste 200, Salem, OR and can be reached out via phone at 971-375-6325 and via fax at 503-485-3224.

Location: 2995 Ryan Dr Se Ste 200, Salem, OR, 97301-5157
person
Provider Profile Details
NPI Number
1528759610
Provider Name
Richard A Dutra
Credential
Provider Entity Type
Individual
Gender
Male
Address
2995 Ryan Dr Se Ste 200, Salem, OR, 97301-5157
Phone Number
971-375-6325
Fax Number
503-485-3224
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2995 Ryan Dr Se Ste 200
City
State
Zip
97301-5157
Phone Number
971-375-6325
Fax Number
503-485-3224
person
Provider Business Mailing Address Details
Address
2995 Ryan Dr Se Ste 200
City
State
Zip
97301-5157
Phone Number
971-375-6325
Fax Number
503-485-3224
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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