Individual provider · Type 1 NPI

Ismond Waters

Peer Specialist · Portland, OR

NPI number 1306620422 Active

Practice location

605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216

Call (503) 231-7480 Map

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 1306620422

Ismond Waters's National Provider Identifier is 1306620422, issued on Aug 21, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Aug 21, 2023.