Individual provider · Type 1 NPI

Jeremiah Glen Spray

Peer Specialist · Bend, OR

NPI number 1124780507 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7752

Fax (541) 322-7565

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 1124780507

Jeremiah Glen Spray's National Provider Identifier is 1124780507, issued on Oct 12, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Oct 12, 2021.