Individual provider · Type 1 NPI

Elise Graham

Peer Specialist · Corvallis, OR

NPI number 1043084957 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

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 1043084957

Elise Graham's National Provider Identifier is 1043084957, issued on Nov 10, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Corvallis, OR. The record was last updated on Jul 8, 2025.