Individual provider · Type 1 NPI

Ivaniel Serrano

Peer Specialist · Madras, OR

NPI number 1215801683 Active

Practice location

850 SW 4th St
Madras, OR 97741-9628

Call (541) 516-4099 Map

Mailing address

PO Box 1710
Redmond, OR 97756-0516

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 1215801683

Ivaniel Serrano's National Provider Identifier is 1215801683, issued on Sep 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Madras, OR. The record was last updated on Sep 30, 2025.