Individual provider · Type 1 NPI

Tim Ray Kelly

Peer Specialist · Lincoln City, OR

NPI number 1003535386 Active

Practice location

1221 NW Highway 101 Ste A
Lincoln City, OR 97367-3351

Call (442) 244-1336 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000106995 (OR)

Peer Specialist: 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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About NPI 1003535386

Tim Ray Kelly's National Provider Identifier is 1003535386, issued on Aug 22, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lincoln City, OR. The record was last updated on Aug 22, 2022.