Individual provider · Type 1 NPI

Austin Gipson

Peer Specialist · Portland, OR

NPI number 1720782121 Active

Practice location

1550 NW 14th Ave Apt 211
Portland, OR 97209-2579

Call (503) 999-1718 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XT-23-3395 (OR)
Peer Specialist Primary 175T00000XTHW000109078 (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 1720782121

Austin Gipson's National Provider Identifier is 1720782121, issued on Mar 29, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Dec 14, 2023.