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Michael Alan Nicholas, CRM
Peer Specialist in Oregon City, Oregon
NPI 1821537861

Michael Alan Nicholas is a Peer Specialist based in Portland, OR. Michael Alan Nicholas practices in Oregon City, OR and has the professional credentials of CRM. The NPI Number for Michael Alan Nicholas is 1821537861 and holds a License No. 15-CRM-008 (Oregon).

The current practice location address for Michael Alan Nicholas is 704 Main St, Oregon City, OR and can be reached out via phone at 971-386-3415 and via fax at 503-208-2596. You can also correspond with Michael Alan Nicholas through the mailing address at PO BOX 16756, PORTLAND, OR - 97292-0756 (mailing address contact number: ).

Location: 704 Main St, Oregon City, OR, 97292-0756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821537861
Provider Name
Michael Alan Nicholas
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
704 Main St, Oregon City, OR, 97292-0756
Phone Number
971-386-3415
Fax Number
503-208-2596
Provider Enumeration Date
02/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
704 Main St
City
Oregon City
State
Oregon
Zip
97045-1842
Phone Number
971-386-3415
Fax Number
503-208-2596
person
Provider Business Mailing Address Details
Address
704 Main St
City
Oregon City
State
Oregon
Zip
97045-1842
Phone Number
971-386-3415
Fax Number
503-208-2596
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
15-CRM-008 (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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