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Joseph Rucker
Peer Specialist in Grants Pass, Oregon
NPI 1912627738

Joseph Rucker is a Peer Specialist based in Grants Pass, OR. Joseph Rucker practices in Grants Pass, OR. The NPI Number for Joseph Rucker is 1912627738 and holds a License No. (Oregon).

The current practice location address for Joseph Rucker is 1920 Sw Kurtz Ln, Grants Pass, OR and can be reached out via phone at 541-295-3072 and via fax at 541-295-3074.

Location: 1920 Sw Kurtz Ln, Grants Pass, OR, 97527-5700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912627738
Provider Name
Joseph Rucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1920 Sw Kurtz Ln, Grants Pass, OR, 97527-5700
Phone Number
541-295-3072
Fax Number
541-295-3074
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1920 Sw Kurtz Ln
City
Grants Pass
State
Oregon
Zip
97526-2803
Phone Number
541-295-3072
Fax Number
541-295-3074
person
Provider Business Mailing Address Details
Address
1920 Sw Kurtz Ln
City
Grants Pass
State
Oregon
Zip
97526-2803
Phone Number
541-295-3072
Fax Number
541-295-3074
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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