Individual provider · Type 1 NPI

Brandy Forks, CRM

Peer Specialist · Portland, OR

NPI number 1689060659 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Call (503) 335-8125 Map

Mailing address

1637 NE 231st Ct
Wood Village, OR 97060-2819

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 1689060659

Brandy Forks, CRM's National Provider Identifier is 1689060659, issued on Apr 7, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 7, 2015.