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Stephanie Gibson, PSS
Peer Specialist in Dallas, Oregon
NPI 1861171308

Stephanie Gibson is a Peer Specialist based in Dallas, OR. Stephanie Gibson practices in Dallas, OR and has the professional credentials of PSS. The NPI Number for Stephanie Gibson is 1861171308 and holds a License No. THW000109289 (Oregon).

The current practice location address for Stephanie Gibson is 945 Se Uglow Ave, Dallas, OR and can be reached out via phone at 503-837-1762.

Location: 945 Se Uglow Ave, Dallas, OR, 97338-1367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861171308
Provider Name
Stephanie Gibson
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
945 Se Uglow Ave, Dallas, OR, 97338-1367
Phone Number
503-837-1762
Fax Number
Provider Enumeration Date
07/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
945 Se Uglow Ave
City
Dallas
State
Oregon
Zip
97338-2642
Phone Number
503-837-1762
Fax Number
person
Provider Business Mailing Address Details
Address
945 Se Uglow Ave
City
Dallas
State
Oregon
Zip
97338-2642
Phone Number
503-837-1762
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000109289 (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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