person
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
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Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
7916 Se Foster Rd Ste 201
City
State
Zip
97206-4289
Phone Number
503-465-2749
Fax Number
person
Provider Business Mailing Address Details
Address
7916 Se Foster Rd Ste 201
City
State
Zip
97206-4289
Phone Number
503-465-2749
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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