Individual provider · Type 1 NPI

Gregory M. Tornholm

Peer Specialist · Portland, OR

NPI number 1225831019 Active

Practice location

10362 SW Mcdonald St
Portland, OR 97224-4863

Call (971) 202-7964 Map

Fax (503) 639-3973

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

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 1225831019

Gregory M. Tornholm's National Provider Identifier is 1225831019, issued on Mar 28, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Mar 28, 2025.