Individual provider · Type 1 NPI

Gracelyn N. Nickerson, PSS

Peer Specialist · Newport, OR

NPI number 1245021971 Active

Practice location

547 SW 7th St
Newport, OR 97365-4909

Call (541) 574-9570 Map

Fax (541) 574-8857

Mailing address

PO Box 1538
Newport, OR 97365-0115

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X113974 (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 1245021971

Gracelyn N. Nickerson, PSS's National Provider Identifier is 1245021971, issued on May 13, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newport, OR. The record was last updated on May 13, 2025.