Individual provider · Type 1 NPI

Jeramie Goodell

Peer Specialist · Roseburg, OR

NPI number 1508657248 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

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 1508657248

Jeramie Goodell's National Provider Identifier is 1508657248, issued on May 13, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Jun 2, 2025.