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Tina Lyn Fain, CRM
Peer Specialist in Medford, Oregon
NPI 1750923827

Tina Lyn Fain is a Peer Specialist based in Medford, OR. Tina Lyn Fain practices in Medford, OR and has the professional credentials of CRM. The NPI Number for Tina Lyn Fain is 1750923827 and holds a License No. (Oregon).

The current practice location address for Tina Lyn Fain is 1025 E Main St, Medford, OR and can be reached out via phone at 541-779-1282 and via fax at 541-608-2888.

Location: 1025 E Main St, Medford, OR, 97504-7140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750923827
Provider Name
Tina Lyn Fain
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
1025 E Main St, Medford, OR, 97504-7140
Phone Number
541-779-1282
Fax Number
541-608-2888
Provider Enumeration Date
10/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 E Main St
City
Medford
State
Oregon
Zip
97504-7689
Phone Number
541-779-1282
Fax Number
541-608-2888
person
Provider Business Mailing Address Details
Address
1025 E Main St
City
Medford
State
Oregon
Zip
97504-7689
Phone Number
541-779-1282
Fax Number
541-608-2888
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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