Individual provider · Type 1 NPI

Theodore N. Gone

Peer Specialist · Pendleton, OR

NPI number 1942957055 Active

Practice location

46314 Timine Way
Pendleton, OR 97801-9417

Mailing address

PO Box 160
Pendleton, OR 97801-0160

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000106181 (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 1942957055

Theodore N. Gone's National Provider Identifier is 1942957055, issued on Mar 8, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pendleton, OR. The record was last updated on Mar 8, 2022.