Individual provider · Type 1 NPI

Carol Lipson Criswell

Peer Specialist · Portland, OR

NPI number 1053829663 Active

Practice location

830 NE 47th Ave
Portland, OR 97213-2212

Mailing address

203 SE 45th Ave
Portland, OR 97215-1013

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 1053829663

Carol Lipson Criswell's National Provider Identifier is 1053829663, issued on Jan 17, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 17, 2018.