Steven Wade is a Peer Specialist based in Portland, OR. Steven Wade practices in Portland, OR. The NPI Number for Steven Wade is 1750886255 and holds a License No. THW1630 (Oregon).
The current practice location address for Steven Wade is 4512 Ne Portland Hwy, Portland, OR and can be reached out via phone at 503-935-1513.
Location: 4512 Ne Portland Hwy, Portland, OR, 97218-1363
Provider Profile Details
NPI Number
1750886255
Provider Name
Steven Wade
Credential
Provider Entity Type
Individual
Gender
Male
Address
4512 Ne Portland Hwy, Portland, OR, 97218-1363
Phone Number
503-935-1513
Fax Number
Provider Enumeration Date
03/27/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW1630 | 01 | OR | PEER SUPPORT SPECIALIST |
| THW1630 | 01 | OR | PEER SERVICES |
| THW1630 | 05 | OR |
Provider Business Practice Location Address Details
Address
4512 Ne Portland Hwy
City
State
Zip
97218-1363
Phone Number
503-935-1513
Fax Number
Provider Business Mailing Address Details
Address
4512 Ne Portland Hwy
City
State
Zip
97218-1363
Phone Number
503-935-1513
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW1630 (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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