Individual provider · Type 1 NPI

Ernest Bethea

Peer Specialist · Salem, OR

NPI number 1487540175 Active

Practice location

1190 Broadway St NE
Salem, OR 97301-1141

Call (503) 393-4273 Map

Mailing address

380 17th St SE
Salem, OR 97301-8865

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X113914 (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 1487540175

Ernest Bethea's National Provider Identifier is 1487540175, issued on Jun 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Jun 17, 2025.