Individual provider · Type 1 NPI

Hyde Janes

Peer Specialist · Portland, OR

NPI number 1710539440 Active

Practice location

722 NE 162nd Ave
Portland, OR 97230-5760

Call (503) 239-8101 Map

Fax (503) 408-5201

Mailing address

424 NE 22nd Ave
Portland, OR 97232-2809

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 1710539440

Hyde Janes's National Provider Identifier is 1710539440, issued on Jul 12, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jul 12, 2019.