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Burl Amber Smith, PSS
Peer Specialist in Bend, Oregon
NPI 1942070982

Burl Amber Smith is a Peer Specialist based in Bend, OR. Burl Amber Smith practices in Bend, OR and has the professional credentials of PSS. The NPI Number for Burl Amber Smith is 1942070982 and holds a License No. THW000109693 (Oregon).

The current practice location address for Burl Amber Smith is 20370 Poe Sholes Dr, Bend, OR and can be reached out via phone at 541-318-1377.

Location: 20370 Poe Sholes Dr, Bend, OR, 97701-6487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942070982
Provider Name
Burl Amber Smith
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
20370 Poe Sholes Dr, Bend, OR, 97701-6487
Phone Number
541-318-1377
Fax Number
Provider Enumeration Date
01/02/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20370 Poe Sholes Dr
City
Bend
State
Oregon
Zip
97703-7938
Phone Number
541-318-1377
Fax Number
person
Provider Business Mailing Address Details
Address
20370 Poe Sholes Dr
City
Bend
State
Oregon
Zip
97703-7938
Phone Number
541-318-1377
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000109693 (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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