person
Jonathan L Roeder
Peer Specialist in Salem, Oregon
NPI 1871129502

Jonathan L Roeder is a Peer Specialist based in Salem, OR. Jonathan L Roeder practices in Salem, OR. The NPI Number for Jonathan L Roeder is 1871129502 and holds a License No. THW000004071 (Oregon).

The current practice location address for Jonathan L Roeder is 4275 Commercial St Se Ste 180, Salem, OR and can be reached out via phone at 806-850-3363.

Location: 4275 Commercial St Se Ste 180, Salem, OR, 97302-4087
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Provider Profile Details
NPI Number
1871129502
Provider Name
Jonathan L Roeder
Credential
Provider Entity Type
Individual
Gender
Male
Address
4275 Commercial St Se Ste 180, Salem, OR, 97302-4087
Phone Number
806-850-3363
Fax Number
Provider Enumeration Date
03/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000004071 01 OR TRADITIONAL HEALTH CARE WORKER
institution
Provider Business Practice Location Address Details
Address
4275 Commercial St Se Ste 180
City
State
Zip
97302-4087
Phone Number
806-850-3363
Fax Number
person
Provider Business Mailing Address Details
Address
4275 Commercial St Se Ste 180
City
State
Zip
97302-4087
Phone Number
806-850-3363
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW000004071 (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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