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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.

Location: 900 Main St Ste 200, Oregon City, OR, 97292-0756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Oregon City
State
Oregon
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
Oregon City
State
Oregon
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
175T00000X
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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