Individual provider · Type 1 NPI

Mariah Loucks

Peer Specialist · Portland, OR

NPI number 1386458305 Active

Practice location

1904 SE Division St
Portland, OR 97202-1146

Call (503) 517-8663 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 1386458305

Mariah Loucks's National Provider Identifier is 1386458305, issued on Feb 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Feb 3, 2025.