Individual provider · Type 1 NPI

Madeline Shepherd

Peer Specialist · Portland, OR

NPI number 1063001550 Active

Practice location

1316 SE 12th Ave
Portland, OR 97214-3604

Call (866) 231-3007 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X20-CRM-147 (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 1063001550

Madeline Shepherd's National Provider Identifier is 1063001550, issued on Jan 11, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2021.