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Lisa Lynn Ray
Peer Specialist in Tillamook, Oregon
NPI 1669127171

Lisa Lynn Ray is a Peer Specialist based in Tillamook, OR. Lisa Lynn Ray practices in Tillamook, OR. The NPI Number for Lisa Lynn Ray is 1669127171 and holds a License No. THW000106186 (Oregon).

The current practice location address for Lisa Lynn Ray is 906 Main Ave, Tillamook, OR and can be reached out via phone at 503-842-8201 and via fax at 503-815-1870.

Location: 906 Main Ave, Tillamook, OR, 97141-3816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669127171
Provider Name
Lisa Lynn Ray
Credential
Provider Entity Type
Individual
Gender
Female
Address
906 Main Ave, Tillamook, OR, 97141-3816
Phone Number
503-842-8201
Fax Number
503-815-1870
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000106186 01 OR TRADITIONAL HEALTHCARE WORKER - PEER SUPPORT SPECIALIST
institution
Provider Business Practice Location Address Details
Address
906 Main Ave
City
Tillamook
State
Oregon
Zip
97141-3816
Phone Number
503-842-8201
Fax Number
503-815-1870
person
Provider Business Mailing Address Details
Address
906 Main Ave
City
Tillamook
State
Oregon
Zip
97141-3816
Phone Number
503-842-8201
Fax Number
503-815-1870
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000106186 (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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