Individual provider · Type 1 NPI

Jenifer Prevost

Peer Specialist · Portland, OR

NPI number 1003662784 Active

Practice location

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053

Call (503) 283-3763 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1003662784

Jenifer Prevost's National Provider Identifier is 1003662784, issued on Apr 24, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 24, 2024.