Individual provider · Type 1 NPI

Nicole Tiefenback

Peer Specialist · Grants Pass, OR

NPI number 1114740180 Active

Practice location

356 NE Beacon Dr
Grants Pass, OR 97526-3815

Call (541) 529-5156 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

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.

22 other providers at this address

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About NPI 1114740180

Nicole Tiefenback's National Provider Identifier is 1114740180, issued on Nov 6, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Nov 6, 2024.