Individual provider · Type 1 NPI

Georgiaanne Tuesday Bastow, CRM

Peer Specialist · Newport, OR

NPI number 1619710100 Active

Practice location

PO Box 1538
Newport, OR 97365-0115

Call (541) 574-9570 Map

Fax (541) 574-8857

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-CRM-2996 (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 1619710100

Georgiaanne Tuesday Bastow, CRM's National Provider Identifier is 1619710100, issued on Jun 13, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newport, OR. The record was last updated on Jun 13, 2024.