Individual provider · Type 1 NPI

Jaqueline Landa

Peer Specialist · Gresham, OR

NPI number 1356159784 Active

Practice location

1312 E Powell Blvd
Gresham, OR 97030-8003

Call (971) 706-1978 Map

Mailing address

6200 SE King Rd
Portland, OR 97222-2891

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X112881 (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.

4 other providers at this address

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About NPI 1356159784

Jaqueline Landa's National Provider Identifier is 1356159784, issued on Dec 18, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on Dec 18, 2024.