Individual provider · Type 1 NPI

Kevvin Noah Tiefenback

Peer Specialist · Klamath Falls, OR

NPI number 1851273619 Active

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Call (541) 883-1030 Map

Fax (541) 844-2338

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 1851273619

Kevvin Noah Tiefenback's National Provider Identifier is 1851273619, issued on Jul 23, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Jul 23, 2025.