Individual provider · Type 1 NPI
Jennifer Pangburn, BS
Peer Specialist · Dallas, OR
NPI number
1477949832
Active
Practice location
277 SW Walnut Ave Apt 17
Dallas, OR 97338-5102
Fax (503) 585-0491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1477949832
Jennifer Pangburn, BS's National Provider Identifier is 1477949832, issued on Apr 13, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dallas, OR. The record was last updated on Apr 13, 2015.