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Melvin Gilmore, CRM
Peer Specialist in Klamath Falls, Oregon
NPI 1669012779

Melvin Gilmore is a Peer Specialist based in Klamath Falls, OR. Melvin Gilmore practices in Klamath Falls, OR and has the professional credentials of CRM. The NPI Number for Melvin Gilmore is 1669012779 and holds a License No. 19-CRM-218 (Oregon).

The current practice location address for Melvin Gilmore is 2210 N Eldorado Ave, Klamath Falls, OR and can be reached out via phone at 541-883-1030. You can also correspond with Melvin Gilmore through the mailing address at 2210 N ELDORADO AVE, KLAMATH FALLS, OR - 97601-6418 (mailing address contact number: 541-883-1030).

Location: 2210 N Eldorado Ave, Klamath Falls, OR, 97601-6418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669012779
Provider Name
Melvin Gilmore
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
2210 N Eldorado Ave, Klamath Falls, OR, 97601-6418
Phone Number
541-883-1030
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2210 N Eldorado Ave
City
Klamath Falls
State
Oregon
Zip
97601-6418
Phone Number
541-883-1030
Fax Number
person
Provider Business Mailing Address Details
Address
2210 N Eldorado Ave
City
Klamath Falls
State
Oregon
Zip
97601-6418
Phone Number
541-883-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
19-CRM-218 (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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