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Jolena Mae Mallory, CRM
Peer Specialist in Portland, Oregon
NPI 1740778521

Jolena Mae Mallory is a Peer Specialist based in Portland, OR. Jolena Mae Mallory practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Jolena Mae Mallory is 1740778521 and holds a License No. 17-CRM-213 (Oregon).

The current practice location address for Jolena Mae Mallory is 7916 Se Foster Rd, Portland, OR and can be reached out via phone at 503-946-8745.

Location: 7916 Se Foster Rd, Portland, OR, 97206-4289
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Provider Profile Details
NPI Number
1740778521
Provider Name
Jolena Mae Mallory
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
7916 Se Foster Rd, Portland, OR, 97206-4289
Phone Number
503-946-8745
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17-CRM-213 05 OR
institution
Provider Business Practice Location Address Details
Address
7916 Se Foster Rd
City
State
Zip
97206-4289
Phone Number
503-946-8745
Fax Number
person
Provider Business Mailing Address Details
Address
7916 Se Foster Rd
City
State
Zip
97206-4289
Phone Number
503-946-8745
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
17-CRM-213 (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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