Individual provider · Type 1 NPI

Ethan J. Newcomb, PSS

Peer Specialist · Portland, OR

NPI number 1699373324 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Call (503) 548-0346 Map

Fax (503) 232-5959

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000104645 (OR)

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 1699373324

Ethan J. Newcomb, PSS's National Provider Identifier is 1699373324, issued on Oct 14, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2021.