Individual provider · Type 1 NPI

Jerome Cross

Peer Specialist · Portland, OR

NPI number 1275301897 Active

Practice location

33 NW Broadway
Portland, OR 97209-3580

Call (503) 228-7134 Map

Fax (503) 501-5679

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X22-CRM-1117 (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 1275301897

Jerome Cross's National Provider Identifier is 1275301897, issued on Dec 13, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 10, 2024.