Austin Gipson is a Peer Specialist based in Portland, OR. Austin Gipson practices in Portland, OR. The NPI Number for Austin Gipson is 1720782121 and holds a License No. (Oregon).
The current practice location address for Austin Gipson is 1550 Nw 14Th Ave Apt 211, Portland, OR and can be reached out via phone at 503-999-1718.
Location: 1550 Nw 14Th Ave Apt 211, Portland, OR, 97209-2579
Provider Profile Details
NPI Number
1720782121
Provider Name
Austin Gipson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1550 Nw 14Th Ave Apt 211, Portland, OR, 97209-2579
Phone Number
503-999-1718
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1550 Nw 14Th Ave Apt 211
City
State
Zip
97209-2579
Phone Number
503-999-1718
Fax Number
Provider Business Mailing Address Details
Address
1550 Nw 14Th Ave Apt 211
City
State
Zip
97209-2579
Phone Number
503-999-1718
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-23-3395 (Oregon)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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