Individual provider · Type 1 NPI

Alishia Mae Bullis

Peer Specialist · Coos Bay, OR

NPI number 1790591675 Active

Practice location

2020 Thompson Rd
Coos Bay, OR 97420-2041

Call (541) 267-3511 Map

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X112737 (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 1790591675

Alishia Mae Bullis's National Provider Identifier is 1790591675, issued on Dec 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coos Bay, OR. The record was last updated on Dec 5, 2024.