Individual provider · Type 1 NPI

Michael James De Hart

Peer Specialist · Portland, OR

NPI number 1639791817 Active

Practice location

30 NE Mlk Blvd
Portland, OR 97232-2941

Call (503) 232-1099 Map

Mailing address

1230 SE Morrison St Apt B14
Portland, OR 97214-2434

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 1639791817

Michael James De Hart's National Provider Identifier is 1639791817, issued on May 11, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 11, 2020.