Individual provider · Type 1 NPI

Taylor Ellenburg

Peer Specialist · Madras, OR

NPI number 1457095440 Active

Practice location

850 SW 4th St
Madras, OR 97741-9628

Mailing address

PO Box 1710
Redmond, OR 97756-0516

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000106409 (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 1457095440

Taylor Ellenburg's National Provider Identifier is 1457095440, issued on Apr 25, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Madras, OR. The record was last updated on Apr 25, 2022.