Individual provider · Type 1 NPI

Kayla Ann Bourgault

Peer Specialist · Eugene, OR

NPI number 1285492173 Active

Practice location

150 Shelton Mcmurphey Blvd Ste 101
Eugene, OR 97401-5015

Call (541) 210-8090 Map

Fax (541) 210-5310

Mailing address

2957 Floral Hill Dr
Eugene, OR 97403-2279

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 1285492173

Kayla Ann Bourgault's National Provider Identifier is 1285492173, issued on Mar 6, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Eugene, OR. The record was last updated on Mar 6, 2024.