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John-brian Wyckoff White, CRM,PSS,LMT
Peer Specialist in Hillsboro, Oregon
NPI 1841956182

John-brian Wyckoff White is a Peer Specialist based in Forest Grove, OR. John-brian Wyckoff White practices in Hillsboro, OR and has the professional credentials of CRM,PSS,LMT. The NPI Number for John-brian Wyckoff White is 1841956182 and holds a License No. THW000105572 (Oregon).

The current practice location address for John-brian Wyckoff White is 971 Sw Walnut St, Hillsboro, OR and can be reached out via phone at 503-640-5297. You can also correspond with John-brian Wyckoff White through the mailing address at 3872 COHO CIR, FOREST GROVE, OR - 97116-3096 (mailing address contact number: 503-313-0070).

Location: 971 Sw Walnut St, Hillsboro, OR, 97116-3096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841956182
Provider Name
John-brian Wyckoff White
Credential
CRM,PSS,LMT
Provider Entity Type
Individual
Gender
Male
Address
971 Sw Walnut St, Hillsboro, OR, 97116-3096
Phone Number
503-640-5297
Fax Number
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
971 Sw Walnut St
City
Hillsboro
State
Oregon
Zip
97123-5651
Phone Number
503-640-5297
Fax Number
person
Provider Business Mailing Address Details
Address
971 Sw Walnut St
City
Hillsboro
State
Oregon
Zip
97123-5651
Phone Number
503-640-5297
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000105572 (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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