Individual provider · Type 1 NPI

Leroy Augustus

Peer Specialist · Portland, OR

NPI number 1538527320 Active

Practice location

10570 SE Washington St
Portland, OR 97216-2846

Call (971) 334-2005 Map

Mailing address

10564 SE Washington St
Portland, OR 97216-2809

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X16-CRM-003 (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 1538527320

Leroy Augustus's National Provider Identifier is 1538527320, issued on Feb 8, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2016.