person
Jake G Thompson, PSS-MH
Peer Specialist in Mcminnville, Oregon
NPI 1578221552

Jake G Thompson is a Peer Specialist based in Mcminnville, OR. Jake G Thompson practices in Mcminnville, OR and has the professional credentials of PSS-MH. The NPI Number for Jake G Thompson is 1578221552 and holds a License No. (Oregon).

The current practice location address for Jake G Thompson is 640 Ne 3Rd St, Mcminnville, OR and can be reached out via phone at 503-474-5509.

Location: 640 Ne 3Rd St, Mcminnville, OR, 97128-4630
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Provider Profile Details
NPI Number
1578221552
Provider Name
Jake G Thompson
Credential
PSS-MH
Provider Entity Type
Individual
Gender
Male
Address
640 Ne 3Rd St, Mcminnville, OR, 97128-4630
Phone Number
503-474-5509
Fax Number
Provider Enumeration Date
12/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105853 01 OR TRADITIONAL HEALTH WORKER
institution
Provider Business Practice Location Address Details
Address
640 Ne 3Rd St
City
State
Zip
97128-4630
Phone Number
503-474-5509
Fax Number
person
Provider Business Mailing Address Details
Address
640 Ne 3Rd St
City
State
Zip
97128-4630
Phone Number
503-474-5509
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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