Individual provider · Type 1 NPI

Tristan Lee Eckhardt

Peer Specialist · Ontario, OR

NPI number 1336996917 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Call (541) 889-9167 Map

Fax (541) 889-7873

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1336996917

Tristan Lee Eckhardt's National Provider Identifier is 1336996917, issued on May 2, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ontario, OR. The record was last updated on May 2, 2024.