Individual provider · Type 1 NPI
Jason Allen Endicott
Peer Specialist · Brightwood, OR
NPI number
1912890922
Active
Practice location
PO Box 36
Brightwood, OR 97011-0036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1912890922
Jason Allen Endicott's National Provider Identifier is 1912890922, issued on May 29, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Brightwood, OR. The record was last updated on May 29, 2025.