Clement Mucyo is a Peer Specialist based in Portland, OR. Clement Mucyo practices in Portland, OR. The NPI Number for Clement Mucyo is 1720851637 and holds a License No. (Oregon).
The current practice location address for Clement Mucyo is 80 Se Madison St Ste 242, Portland, OR and can be reached out via phone at 240-923-0453.
Location: 80 Se Madison St Ste 242, Portland, OR, 97214-4527
Provider Profile Details
NPI Number
1720851637
Provider Name
Clement Mucyo
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 Se Madison St Ste 242, Portland, OR, 97214-4527
Phone Number
240-923-0453
Fax Number
Provider Enumeration Date
11/02/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
80 Se Madison St Ste 242
City
State
Zip
97214-4527
Phone Number
240-923-0453
Fax Number
Provider Business Mailing Address Details
Address
80 Se Madison St Ste 242
City
State
Zip
97214-4527
Phone Number
240-923-0453
Fax Number
Provider's Taxonomy Details 1
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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