Individual provider · Type 1 NPI

Glenn Yamagata

Peer Specialist · Portland, OR

NPI number 1689415374 Active

Practice location

8832 SE 16th Ave
Portland, OR 97202-7219

Call (503) 486-7377 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 1689415374

Glenn Yamagata's National Provider Identifier is 1689415374, issued on Jun 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 5, 2024.