Mr. John Edward Mulligan IV, CRM - Portland, OR

Mr. John Edward Mulligan IV, CRM

Peer Specialist in Portland, Oregon

NPI 1952871857

John Edward Mulligan IV is a Peer Specialist based in Portland, OR. John Edward Mulligan IV practices in Portland, OR and has the professional credentials of CRM. The NPI Number for John Edward Mulligan IV is 1952871857 and holds a License No. (Oregon).

The current practice location address for John Edward Mulligan IV is 7916 Se Foster Rd Ste 201, Portland, OR and can be reached out via phone at 503-465-2749.

Location: 7916 Se Foster Rd Ste 201, Portland, OR, 97292-0756

NPI Number

1952871857

Provider Name

John Edward Mulligan IV

Credential

CRM

Provider Entity Type

Individual

Gender

Male

Address

7916 Se Foster Rd Ste 201, Portland, OR, 97292-0756

Phone Number

503-465-2749

Fax Number

Provider Enumeration Date

12/04/2018

Last Update Date

03/10/2024

Address

7916 Se Foster Rd Ste 201

City

Portland

State

Oregon

Zip

97206-4289

Phone Number

503-465-2749

Fax Number

Address

7916 Se Foster Rd Ste 201

City

Portland

State

Oregon

Zip

97206-4289

Phone Number

503-465-2749

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

(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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