Randolph Tufts is a Peer Specialist based in Portland, OR. Randolph Tufts practices in Portland, OR. The NPI Number for Randolph Tufts is 1538527221 and holds a License No. (Oregon).
The current practice location address for Randolph Tufts is 10564 Se Washington St, Portland, OR and can be reached out via phone at 971-334-2004.
Location: 10564 Se Washington St, Portland, OR, 97216-2809
Provider Profile Details
NPI Number
1538527221
Provider Name
Randolph Tufts
Credential
Provider Entity Type
Individual
Gender
Male
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
971-334-2004
Fax Number
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-CRM-107 | 01 | OR | ACCBO |
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
971-334-2004
Fax Number
Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
971-334-2004
Fax Number
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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