Individual provider · Type 1 NPI

Mary Fakhoury

Peer Specialist · Portland, OR

NPI number 1679112478 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Call (503) 645-3581 Map

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 1679112478

Mary Fakhoury's National Provider Identifier is 1679112478, issued on Dec 27, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 1, 2020.