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Mr. Michael Arthur De La Mater, PSS
Peer Specialist in Madras, Oregon
NPI 1972288298

Michael Arthur De La Mater is a Peer Specialist based in Redmond, OR. Michael Arthur De La Mater practices in Madras, OR and has the professional credentials of PSS. The NPI Number for Michael Arthur De La Mater is 1972288298 and holds a License No. THW000104906 (Oregon).

The current practice location address for Michael Arthur De La Mater is 850 Se 4Th St, Madras, OR and can be reached out via phone at 541-475-6575.

Location: 850 Se 4Th St, Madras, OR, 97756-0516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972288298
Provider Name
Michael Arthur De La Mater
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
850 Se 4Th St, Madras, OR, 97756-0516
Phone Number
541-475-6575
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
850 Se 4Th St
City
Madras
State
Oregon
Zip
97741-9629
Phone Number
541-475-6575
Fax Number
person
Provider Business Mailing Address Details
Address
850 Se 4Th St
City
Madras
State
Oregon
Zip
97741-9629
Phone Number
541-475-6575
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000104906 (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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