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Trista Kildow, PSS/THW/CRM
Peer Specialist in Oregon City, Oregon
NPI 1659988814

Trista Kildow is a Peer Specialist based in Portland, OR. Trista Kildow practices in Oregon City, OR and has the professional credentials of PSS/THW/CRM. The NPI Number for Trista Kildow is 1659988814 and holds a License No. THW000003403 (Oregon).

The current practice location address for Trista Kildow is 900 Main St Ste 200, Oregon City, OR and can be reached out via phone at 503-465-2749.

Location: 900 Main St Ste 200, Oregon City, OR, 97292-0576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659988814
Provider Name
Trista Kildow
Credential
PSS/THW/CRM
Provider Entity Type
Individual
Gender
Female
Address
900 Main St Ste 200, Oregon City, OR, 97292-0576
Phone Number
503-465-2749
Fax Number
Provider Enumeration Date
09/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Main St Ste 200
City
Oregon City
State
Oregon
Zip
97045-1869
Phone Number
503-465-2749
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St Ste 200
City
Oregon City
State
Oregon
Zip
97045-1869
Phone Number
503-465-2749
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000003403 (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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