Individual provider · Type 1 NPI

Jessica Shine, CRM

Peer Specialist · Medford, OR

NPI number 1033857131 Active

Practice location

16 S Peach St
Medford, OR 97501-2945

Call (541) 779-1282 Map

Fax (541) 608-2888

Mailing address

1003 E Main St Ste 104
Medford, OR 97504-7140

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 1033857131

Jessica Shine, CRM's National Provider Identifier is 1033857131, issued on May 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on May 26, 2022.