Individual provider · Type 1 NPI

Erich Rudolph

Peer Specialist · Grants Pass, OR

NPI number 1497553697 Active

Practice location

356 NE Beacon Dr
Grants Pass, OR 97526-3815

Call (541) 474-1033 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

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 1497553697

Erich Rudolph's National Provider Identifier is 1497553697, issued on Mar 4, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Mar 4, 2025.