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Portia T Mcgowan
Peer Specialist in Tillamook, Oregon
NPI 1811611775

Portia T Mcgowan is a Peer Specialist based in Tillamook, OR. Portia T Mcgowan practices in Tillamook, OR. The NPI Number for Portia T Mcgowan is 1811611775 and holds a License No. THW000107428 (Oregon).

The current practice location address for Portia T Mcgowan is 906 Main Ave, Tillamook, OR and can be reached out via phone at 503-815-5437 and via fax at 503-815-1870.

Location: 906 Main Ave, Tillamook, OR, 97141-3816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811611775
Provider Name
Portia T Mcgowan
Credential
Provider Entity Type
Individual
Gender
Female
Address
906 Main Ave, Tillamook, OR, 97141-3816
Phone Number
503-815-5437
Fax Number
503-815-1870
Provider Enumeration Date
10/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
906 Main Ave
City
Tillamook
State
Oregon
Zip
97141-3816
Phone Number
503-815-5437
Fax Number
503-815-1870
person
Provider Business Mailing Address Details
Address
906 Main Ave
City
Tillamook
State
Oregon
Zip
97141-3816
Phone Number
503-815-5437
Fax Number
503-815-1870
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000107428 (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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