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Michael White
Peer Specialist in Medford, Oregon
NPI 1548645104

Michael White is a Peer Specialist based in Medford, OR. Michael White practices in Medford, OR. The NPI Number for Michael White is 1548645104 and holds a License No. (Oregon).

The current practice location address for Michael White is 817 N Central Ave, Medford, OR and can be reached out via phone at 541-245-4673. You can also correspond with Michael White through the mailing address at 817 N CENTRAL AVE, MEDFORD, OR - 97501-5840 (mailing address contact number: ).

Location: 817 N Central Ave, Medford, OR, 97501-5840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548645104
Provider Name
Michael White
Credential
Provider Entity Type
Individual
Gender
Male
Address
817 N Central Ave, Medford, OR, 97501-5840
Phone Number
541-245-4673
Fax Number
Provider Enumeration Date
07/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
817 N Central Ave
City
Medford
State
Oregon
Zip
97501-5840
Phone Number
541-245-4673
Fax Number
person
Provider Business Mailing Address Details
Address
817 N Central Ave
City
Medford
State
Oregon
Zip
97501-5840
Phone Number
541-245-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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