Individual provider · Type 1 NPI

Iyanna Jenelle Jimenez, CRM/PSS/PWS

Peer Specialist · Beaverton, OR

NPI number 1174245146 Active

Practice location

3800 SW Cedar Hills Blvd Ste 288
Beaverton, OR 97005-2035

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone 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 1174245146

Iyanna Jenelle Jimenez, CRM/PSS/PWS's National Provider Identifier is 1174245146, issued on Sep 15, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Beaverton, OR. The record was last updated on Feb 23, 2024.