Individual provider · Type 1 NPI

Nicole Lewis, PSS

Peer Specialist · Salem, OR

NPI number 1710758768 Active

Practice location

1190 Broadway St NE
Salem, OR 97301-1141

Mailing address

469 Gregory Ln SE
Salem, OR 97302-4823

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000XTHW000110212 (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 1710758768

Nicole Lewis, PSS's National Provider Identifier is 1710758768, issued on Jan 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Jan 9, 2024.