Individual provider · Type 1 NPI

Jesse Fuller

Peer Specialist · Portland, OR

NPI number 1720851728 Active

Practice location

1030 NE Couch St
Portland, OR 97232-3067

Call (503) 239-8400 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

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 1720851728

Jesse Fuller's National Provider Identifier is 1720851728, issued on Nov 1, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Nov 1, 2023.