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Trista Demarie Boudon
Peer Specialist in Seaside, Oregon
NPI 1740746882

Trista Demarie Boudon is a Peer Specialist based in Warrenton, OR. Trista Demarie Boudon practices in Seaside, OR. The NPI Number for Trista Demarie Boudon is 1740746882 and holds a License No. (Oregon).

The current practice location address for Trista Demarie Boudon is 318 S Holladay Dr, Seaside, OR and can be reached out via phone at 503-325-0241.

Location: 318 S Holladay Dr, Seaside, OR, 97146-9371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740746882
Provider Name
Trista Demarie Boudon
Credential
Provider Entity Type
Individual
Gender
Female
Address
318 S Holladay Dr, Seaside, OR, 97146-9371
Phone Number
503-325-0241
Fax Number
Provider Enumeration Date
02/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
318 S Holladay Dr
City
Seaside
State
Oregon
Zip
97138-6728
Phone Number
503-325-0241
Fax Number
person
Provider Business Mailing Address Details
Address
318 S Holladay Dr
City
Seaside
State
Oregon
Zip
97138-6728
Phone Number
503-325-0241
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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