Mark Anthony Halloran JR., PSS, CRM - Portland, OR

Mark Anthony Halloran JR., PSS,CRM

Peer Specialist in Portland, Oregon

NPI 1710693544

Mark Anthony Halloran JR. is a Peer Specialist based in Portland, OR. Mark Anthony Halloran JR. practices in Portland, OR and has the professional credentials of PSS,CRM. The NPI Number for Mark Anthony Halloran JR. is 1710693544 and holds a License No. 000106008 (Oregon).

The current practice location address for Mark Anthony Halloran JR. is 5415 Sw Westgate Dr, Portland, OR and can be reached out via phone at 971-727-8026.

Location: 5415 Sw Westgate Dr, Portland, OR, 97221-2409

NPI Number

1710693544

Provider Name

Mark Anthony Halloran JR.

Credential

PSS,CRM

Provider Entity Type

Individual

Gender

Male

Address

5415 Sw Westgate Dr, Portland, OR, 97221-2409

Phone Number

971-727-8026

Fax Number

Provider Enumeration Date

01/25/2023

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
000106008	01	OR	TRADITIONAL HEALTH WORKER

Address

5415 Sw Westgate Dr

City

Portland

State

Oregon

Zip

97221-2409

Phone Number

971-727-8026

Fax Number

Address

5415 Sw Westgate Dr

City

Portland

State

Oregon

Zip

97221-2409

Phone Number

971-727-8026

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

000106008 (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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