Individual provider · Type 1 NPI

Jason Allen Paul, PSS, CRM

Peer Specialist · Coos Bay, OR

NPI number 1013487404 Active

Practice location

155 S Empire Blvd
Coos Bay, OR 97420-3374

Call (541) 756-3111 Map

Fax (541) 756-2111

Mailing address

1942 Sheridan Ave
North Bend, OR 97459-3416

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000X18-CRM-183 (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 1013487404

Jason Allen Paul, PSS, CRM's National Provider Identifier is 1013487404, issued on Nov 28, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coos Bay, OR. The record was last updated on Nov 28, 2018.