Individual provider · Type 1 NPI

Jonathan Ray Vanzandt

Peer Specialist · St. Helens, OR

NPI number 1154802783 Active

Practice location

58646 Mcnulty Way
St. Helens, OR 97051-6210

Call (503) 397-5211 Map

Fax (503) 397-5373

Mailing address

PO Box 1234
St. Helens, OR 97051-8234

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 1154802783

Jonathan Ray Vanzandt's National Provider Identifier is 1154802783, issued on Aug 22, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Helens, OR. The record was last updated on Aug 22, 2018.