Individual provider · Type 1 NPI

Raychel Lavonne Porter, CRM

Peer Specialist · Portland, OR

NPI number 1689126765 Active

Practice location

2901 E Burnside St
Portland, OR 97214-1831

Call (503) 238-5203 Map

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Other practice locations

  • 17645 NW Saint Helens Rd, Portland, OR 97231-1729 · (503) 621-1069

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-16-046 (OR)
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 1689126765

Raychel Lavonne Porter, CRM's National Provider Identifier is 1689126765, issued on Oct 25, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Sep 24, 2019.