Individual provider · Type 1 NPI

Jeremy J. Portje

Peer Specialist · San Rafael, CA

NPI number 1003702705 Active

Practice location

3270 Kerner Blvd Ste C
San Rafael, CA 94901-4840

Call (415) 960-8290 Map

Mailing address

55 Hillside Ter
Novato, CA 94945-3509

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-WIBDCJ (CA)

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 1003702705

Jeremy J. Portje's National Provider Identifier is 1003702705, issued on Jun 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Rafael, CA. The record was last updated on Jun 17, 2025.