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Ms. Lori D Blake, PSS
Peer Specialist in Medford, Oregon
NPI 1992556807

Lori D Blake is a Peer Specialist based in Medford, OR. Lori D Blake practices in Medford, OR and has the professional credentials of PSS. The NPI Number for Lori D Blake is 1992556807 and holds a License No. (Oregon).

The current practice location address for Lori D Blake is 305 S Fir Street, Medford, OR and can be reached out via phone at 541-200-3000 and via fax at 541-787-6072.

Location: 305 S Fir Street, Medford, OR, 97501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992556807
Provider Name
Lori D Blake
Credential
PSS
Provider Entity Type
Individual
Gender
Female
Address
305 S Fir Street, Medford, OR, 97501
Phone Number
541-200-3000
Fax Number
541-787-6072
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
305 S Fir Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-200-3000
Fax Number
541-787-6072
person
Provider Business Mailing Address Details
Address
305 S Fir Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-200-3000
Fax Number
541-787-6072
person
Provider's Taxonomy Details 1
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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