person
Joresa Diondra Jefferson
Peer Specialist in Portland, Oregon
NPI 1952182123

Joresa Diondra Jefferson is a Peer Specialist based in Portland, OR. Joresa Diondra Jefferson practices in Portland, OR. The NPI Number for Joresa Diondra Jefferson is 1952182123 and holds a License No. 23-CRM-1585 (Oregon).

The current practice location address for Joresa Diondra Jefferson is 3231 Se 50Th Ave, Portland, OR and can be reached out via phone at 503-238-5203.

Location: 3231 Se 50Th Ave, Portland, OR, 97233-5056
person
Provider Profile Details
NPI Number
1952182123
Provider Name
Joresa Diondra Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3231 Se 50Th Ave, Portland, OR, 97233-5056
Phone Number
503-238-5203
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3231 Se 50Th Ave
City
State
Zip
97206-2248
Phone Number
503-238-5203
Fax Number
person
Provider Business Mailing Address Details
Address
3231 Se 50Th Ave
City
State
Zip
97206-2248
Phone Number
503-238-5203
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-CRM-1585 (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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