Jeremy Wade Klootwyk - Salem, OR

Jeremy Wade Klootwyk

Peer Specialist in Salem, Oregon

NPI 1952094989

Jeremy Wade Klootwyk is a Peer Specialist based in Salem, OR. Jeremy Wade Klootwyk practices in Salem, OR. The NPI Number for Jeremy Wade Klootwyk is 1952094989 and holds a License No. 23-CRM-1999 (Oregon).

The current practice location address for Jeremy Wade Klootwyk is 1011 Commercial St Ne, Salem, OR and can be reached out via phone at 503-983-9900.

Location: 1011 Commercial St Ne, Salem, OR, 97301-1049

NPI Number

1952094989

Provider Name

Jeremy Wade Klootwyk

Credential

Provider Entity Type

Individual

Gender

Male

Address

1011 Commercial St Ne, Salem, OR, 97301-1049

Phone Number

503-983-9900

Fax Number

Provider Enumeration Date

05/26/2023

Last Update Date

03/10/2024

Address

1011 Commercial St Ne

City

Salem

State

Oregon

Zip

97301-1049

Phone Number

503-983-9900

Fax Number

Address

1011 Commercial St Ne

City

Salem

State

Oregon

Zip

97301-1049

Phone Number

503-983-9900

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

23-CRM-1999 (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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