Dietrich Lamont Mcdaniel, CRM - Portland, OR

Dietrich Lamont Mcdaniel, CRM

Peer Specialist in Portland, Oregon

NPI 1548752199

Dietrich Lamont Mcdaniel is a Peer Specialist based in Portland, OR. Dietrich Lamont Mcdaniel practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Dietrich Lamont Mcdaniel is 1548752199 and holds a License No. 17-CRM-068 (Oregon).

The current practice location address for Dietrich Lamont Mcdaniel is 10564 Se Washington St, Portland, OR and can be reached out via phone at 971-322-8231.

Location: 10564 Se Washington St, Portland, OR, 97216-2809

NPI Number

1548752199

Provider Name

Dietrich Lamont Mcdaniel

Credential

CRM

Provider Entity Type

Individual

Gender

Male

Address

10564 Se Washington St, Portland, OR, 97216-2809

Phone Number

971-322-8231

Fax Number

Provider Enumeration Date

05/30/2018

Last Update Date

03/10/2024

Address

10564 Se Washington St

City

Portland

State

Oregon

Zip

97216-2809

Phone Number

971-322-8231

Fax Number

Address

10564 Se Washington St

City

Portland

State

Oregon

Zip

97216-2809

Phone Number

971-322-8231

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

17-CRM-068 (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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