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Gordon S Macmillan, CRM
Peer Specialist in Shedd, Oregon
NPI 1861273617

Gordon S Macmillan is a Peer Specialist based in Milwaukie, OR. Gordon S Macmillan practices in Shedd, OR and has the professional credentials of CRM. The NPI Number for Gordon S Macmillan is 1861273617 and holds a License No. (Oregon).

The current practice location address for Gordon S Macmillan is 31700 Fayetteville Dr, Shedd, OR and can be reached out via phone at 503-208-9004 and via fax at 971-236-8080.

Location: 31700 Fayetteville Dr, Shedd, OR, 97267-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861273617
Provider Name
Gordon S Macmillan
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
31700 Fayetteville Dr, Shedd, OR, 97267-6723
Phone Number
503-208-9004
Fax Number
971-236-8080
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31700 Fayetteville Dr
City
Shedd
State
Oregon
Zip
97377-9779
Phone Number
503-208-9004
Fax Number
971-236-8080
person
Provider Business Mailing Address Details
Address
31700 Fayetteville Dr
City
Shedd
State
Oregon
Zip
97377-9779
Phone Number
503-208-9004
Fax Number
971-236-8080
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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