Individual provider · Type 1 NPI

Kelly D. Degoede, CRM

Peer Specialist · Bend, OR

NPI number 1083183370 Active

Practice location

1435 NE 4th St Ste B
Bend, OR 97701-4268

Call (541) 306-4466 Map

Fax (541) 550-2011

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X18-CRM-353 (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 1083183370

Kelly D. Degoede, CRM's National Provider Identifier is 1083183370, issued on Nov 16, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Nov 16, 2018.