Individual provider · Type 1 NPI

Nicole Hatalla

Peer Specialist · Springfield, OR

NPI number 1164211611 Active

Practice location

1144 Gateway Loop Ste 200
Springfield, OR 97477-7706

Call (541) 686-5060 Map

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 1164211611

Nicole Hatalla's National Provider Identifier is 1164211611, issued on May 1, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Springfield, OR. The record was last updated on May 30, 2025.