Individual provider · Type 1 NPI

Amber Mudong

Peer Specialist · Dallas, OR

NPI number 1063108322 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 623-9289 Map

Mailing address

3587 Liberty Rd
Dallas, OR 97338

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 1063108322

Amber Mudong's National Provider Identifier is 1063108322, issued on Apr 11, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dallas, OR. The record was last updated on Oct 28, 2024.