Individual provider · Type 1 NPI

Mariella Mandujano

Peer Specialist · Milwaukie, OR

NPI number 1144911231 Active

Practice location

11097 SE 21st Ave
Milwaukie, OR 97222-7640

Call (503) 974-9025 Map

Mailing address

11775 SW 134th Ter
Tigard, OR 97223-1581

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000107858 (OR)

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.

8 other providers at this address

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About NPI 1144911231

Mariella Mandujano's National Provider Identifier is 1144911231, issued on May 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Milwaukie, OR. The record was last updated on May 18, 2023.