Individual provider · Type 1 NPI

Gordon S. Macmillan, CRM

Peer Specialist · Shedd, OR

NPI number 1861273617 Active

Practice location

31700 Fayetteville Dr
Shedd, OR 97377-9779

Call (503) 208-9004 Map

Fax (971) 236-8080

Mailing address

18600 SE Mcloughlin Blvd
Milwaukie, OR 97267-6723

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 1861273617

Gordon S. Macmillan, CRM's National Provider Identifier is 1861273617, issued on Oct 9, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shedd, OR. The record was last updated on Oct 9, 2023.