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Michael Long, PSS,CRM
Peer Specialist in Salem, Oregon
NPI 1669047700

Michael Long is a Peer Specialist based in Salem, OR. Michael Long practices in Salem, OR and has the professional credentials of PSS,CRM. The NPI Number for Michael Long is 1669047700 and holds a License No. THW000004320 (Oregon).

The current practice location address for Michael Long is 2995 Ryan Dr Se Ste 200, Salem, OR and can be reached out via phone at 503-602-2217.

Location: 2995 Ryan Dr Se Ste 200, Salem, OR, 97301-5157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669047700
Provider Name
Michael Long
Credential
PSS,CRM
Provider Entity Type
Individual
Gender
Male
Address
2995 Ryan Dr Se Ste 200, Salem, OR, 97301-5157
Phone Number
503-602-2217
Fax Number
Provider Enumeration Date
05/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2995 Ryan Dr Se Ste 200
City
Salem
State
Oregon
Zip
97301-5157
Phone Number
503-602-2217
Fax Number
person
Provider Business Mailing Address Details
Address
2995 Ryan Dr Se Ste 200
City
Salem
State
Oregon
Zip
97301-5157
Phone Number
503-602-2217
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000004320 (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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