Individual provider · Type 1 NPI

Jerry Dale Allen

Peer Specialist · Portland, OR

NPI number 1356076020 Active

Practice location

1535 N Williams Ave
Portland, OR 97227-1885

Call (503) 238-2003 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW105547 (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 1356076020

Jerry Dale Allen's National Provider Identifier is 1356076020, issued on Jul 18, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jul 18, 2022.