person
Ms. Jacklyn Alberta Coleman
Peer Specialist in Portland, Oregon
NPI 1619337730

Jacklyn Alberta Coleman is a Peer Specialist based in Portland, OR. Jacklyn Alberta Coleman practices in Portland, OR. The NPI Number for Jacklyn Alberta Coleman is 1619337730 and holds a License No. (Oregon).

The current practice location address for Jacklyn Alberta Coleman is 421 Sw Oak St Ste 520, Portland, OR and can be reached out via phone at 503-988-4386.

Location: 421 Sw Oak St Ste 520, Portland, OR, 97204-1810
person
Provider Profile Details
NPI Number
1619337730
Provider Name
Jacklyn Alberta Coleman
Credential
Provider Entity Type
Individual
Gender
Female
Address
421 Sw Oak St Ste 520, Portland, OR, 97204-1810
Phone Number
503-988-4386
Fax Number
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
421 Sw Oak St Ste 520
City
State
Zip
97204-1810
Phone Number
503-988-4386
Fax Number
person
Provider Business Mailing Address Details
Address
421 Sw Oak St Ste 520
City
State
Zip
97204-1810
Phone Number
503-988-4386
Fax Number
person
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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