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Clifford Brian Stanger
Peer Specialist in Pendleton, Oregon
NPI 1710408687

Clifford Brian Stanger is a Peer Specialist based in Pendleton, OR. Clifford Brian Stanger practices in Pendleton, OR. The NPI Number for Clifford Brian Stanger is 1710408687 and holds a License No. THW1909 (Oregon).

The current practice location address for Clifford Brian Stanger is 46314 Timine Way, Pendleton, OR and can be reached out via phone at 541-966-9830 and via fax at 541-240-8409. You can also correspond with Clifford Brian Stanger through the mailing address at 71904 PATAWA RD, PENDLETON, OR - 97801 (mailing address contact number: 541-701-1981).

Location: 46314 Timine Way, Pendleton, OR, 97801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710408687
Provider Name
Clifford Brian Stanger
Credential
Provider Entity Type
Individual
Gender
Male
Address
46314 Timine Way, Pendleton, OR, 97801
Phone Number
541-966-9830
Fax Number
541-240-8409
Provider Enumeration Date
06/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801
Phone Number
541-966-9830
Fax Number
541-240-8409
person
Provider Business Mailing Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801
Phone Number
541-966-9830
Fax Number
541-240-8409
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW1909 (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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