Individual provider · Type 1 NPI

Jaimes De Legacy, PWS MH/A, CHW, CRM2

Peer Specialist · Milwaukie, OR

NPI number 1134828981 Active

Practice location

10202 SE 32nd Ave Ste 701
Milwaukie, OR 97222-3625

Call (541) 233-8651 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
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 1134828981

Jaimes De Legacy, PWS MH/A, CHW, CRM2's National Provider Identifier is 1134828981, issued on Mar 1, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Milwaukie, OR. The record was last updated on Feb 18, 2026.