Individual provider · Type 1 NPI

Joseph Rucker

Peer Specialist · Grants Pass, OR

NPI number 1912627738 Active

Practice location

1920 SW Kurtz Ln
Grants Pass, OR 97526-2803

Fax (541) 295-3074

Mailing address

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

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 1912627738

Joseph Rucker's National Provider Identifier is 1912627738, issued on Aug 31, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on May 23, 2023.