Individual provider · Type 1 NPI

Shannon Cole, CRM

Peer Specialist · Portland, OR

NPI number 1225489834 Active

Practice location

10209 SE Division St, Ste D
Portland, OR 97266-1372

Fax (503) 946-8745

Mailing address

PO Box 16756
Portland, OR 97292-0756

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X13CRM040 (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.

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About NPI 1225489834

Shannon Cole, CRM's National Provider Identifier is 1225489834, issued on Jun 24, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2016.