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Ms. Traci Renee Ball
Peer Specialist in Beaverton, Oregon
NPI 1679243877

Traci Renee Ball is a Peer Specialist based in Portland, OR. Traci Renee Ball practices in Beaverton, OR. The NPI Number for Traci Renee Ball is 1679243877 and holds a License No. (Oregon).

The current practice location address for Traci Renee Ball is 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR and can be reached out via phone at 503-641-1475 and via fax at 503-641-8548. You can also correspond with Traci Renee Ball through the mailing address at 5415 SW WESTGATE DR, PORTLAND, OR - 97221-2409 (mailing address contact number: 503-645-3581).

Location: 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR, 97221-2409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679243877
Provider Name
Traci Renee Ball
Credential
Provider Entity Type
Individual
Gender
Female
Address
10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR, 97221-2409
Phone Number
503-641-1475
Fax Number
503-641-8548
Provider Enumeration Date
09/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10700 Sw Beaverton Hillsdale Hwy Ste 11
City
Beaverton
State
Oregon
Zip
97005-3035
Phone Number
503-641-1475
Fax Number
503-641-8548
person
Provider Business Mailing Address Details
Address
5415 Sw Westgate Dr
City
Portland
State
Oregon
Zip
97221-2409
Phone Number
503-645-3581
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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