Individual provider · Type 1 NPI

Kevin M. Wentzel, CRM

Peer Specialist · Madras, OR

NPI number 1346829454 Active

Practice location

125 SW C St
Madras, OR 97741-1458

Call (541) 777-7847 Map

Fax (541) 512-7090

Mailing address

389 SW Scalehouse Ct Ste 130
Bend, OR 97702-3241

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X21-CRM-442 (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 1346829454

Kevin M. Wentzel, CRM's National Provider Identifier is 1346829454, issued on Apr 6, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Madras, OR. The record was last updated on Apr 6, 2021.