person
Michael James De Hart
Peer Specialist in Portland, Oregon
NPI 1639791817

Michael James De Hart is a Peer Specialist based in Portland, OR. Michael James De Hart practices in Portland, OR. The NPI Number for Michael James De Hart is 1639791817 and holds a License No. (Oregon).

The current practice location address for Michael James De Hart is 30 Ne Mlk Blvd, Portland, OR and can be reached out via phone at 503-232-1099.

Location: 30 Ne Mlk Blvd, Portland, OR, 97214-2434
person
Provider Profile Details
NPI Number
1639791817
Provider Name
Michael James De Hart
Credential
Provider Entity Type
Individual
Gender
Male
Address
30 Ne Mlk Blvd, Portland, OR, 97214-2434
Phone Number
503-232-1099
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Ne Mlk Blvd
City
State
Zip
97232-2941
Phone Number
503-232-1099
Fax Number
person
Provider Business Mailing Address Details
Address
30 Ne Mlk Blvd
City
State
Zip
97232-2941
Phone Number
503-232-1099
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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