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Rosalie Ann Evans, THW000104574
Peer Specialist in Albany, Oregon
NPI 1558035600

Rosalie Ann Evans is a Peer Specialist based in Albany, OR. Rosalie Ann Evans practices in Albany, OR and has the professional credentials of THW000104574. The NPI Number for Rosalie Ann Evans is 1558035600 and holds a License No. 104574 (Oregon).

The current practice location address for Rosalie Ann Evans is 231 Lyon St Se, Albany, OR and can be reached out via phone at 541-791-3411.

Location: 231 Lyon St Se, Albany, OR, 97321-2707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558035600
Provider Name
Rosalie Ann Evans
Credential
THW000104574
Provider Entity Type
Individual
Gender
Female
Address
231 Lyon St Se, Albany, OR, 97321-2707
Phone Number
541-791-3411
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
231 Lyon St Se
City
Albany
State
Oregon
Zip
97321-2707
Phone Number
541-791-3411
Fax Number
person
Provider Business Mailing Address Details
Address
231 Lyon St Se
City
Albany
State
Oregon
Zip
97321-2707
Phone Number
541-791-3411
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
104574 (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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