Individual provider · Type 1 NPI

Michael John Padrta

Peer Specialist · Portland, OR

NPI number 1083488480 Active

Practice location

12512 SE Stark St
Portland, OR 97233-1070

Call (503) 906-9995 Map

Mailing address

12540 SW Main St
Tigard, OR 97223-6198

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 1083488480

Michael John Padrta's National Provider Identifier is 1083488480, issued on Nov 7, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Nov 7, 2023.