person
Jeremiah Rider, CRM
Peer Specialist in Oregon City, Oregon
NPI 1841762077

Jeremiah Rider is a Peer Specialist based in Portland, OR. Jeremiah Rider practices in Oregon City, OR and has the professional credentials of CRM. The NPI Number for Jeremiah Rider is 1841762077 and holds a License No. 15-CRM-147 (Oregon).

The current practice location address for Jeremiah Rider is 900 Main St Ste 200, 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 Jeremiah Rider through the mailing address at PO BOX 16756, PORTLAND, OR - 97292-0756 (mailing address contact number: 971-386-3415).

Location: 900 Main St Ste 200, Oregon City, OR, 97292-0756
person
Provider Profile Details
NPI Number
1841762077
Provider Name
Jeremiah Rider
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
900 Main St Ste 200, Oregon City, OR, 97292-0756
Phone Number
971-386-3415
Fax Number
503-208-2596
Provider Enumeration Date
12/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Main St Ste 200
City
State
Zip
97045-1869
Phone Number
971-386-3415
Fax Number
503-208-2596
person
Provider Business Mailing Address Details
Address
900 Main St Ste 200
City
State
Zip
97045-1869
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
License No.
15-CRM-147 (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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