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Theodore N Gone
Peer Specialist in Pendleton, Oregon
NPI 1942957055

Theodore N Gone is a Peer Specialist based in Pendleton, OR. Theodore N Gone practices in Pendleton, OR. The NPI Number for Theodore N Gone is 1942957055 and holds a License No. THW000106181 (Oregon).

The current practice location address for Theodore N Gone is 46314 Timine Way, Pendleton, OR and can be reached out via phone at 541-966-9830.

Location: 46314 Timine Way, Pendleton, OR, 97801-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942957055
Provider Name
Theodore N Gone
Credential
Provider Entity Type
Individual
Gender
Male
Address
46314 Timine Way, Pendleton, OR, 97801-0160
Phone Number
541-966-9830
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801-9417
Phone Number
541-966-9830
Fax Number
person
Provider Business Mailing Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801-9417
Phone Number
541-966-9830
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000106181 (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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