Individual provider · Type 1 NPI

Midian Krash Tenebrae-Hickey

Peer Specialist · Portland, OR

NPI number 1093406969 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-6377 Map

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 1093406969

Midian Krash Tenebrae-Hickey's National Provider Identifier is 1093406969, issued on May 19, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 19, 2023.