Individual provider · Type 1 NPI

Jeremy Wade Klootwyk

Peer Specialist · Salem, OR

NPI number 1952094989 Active

Practice location

1011 Commercial St NE
Salem, OR 97301-1049

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X23-CRM-1999 (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 1952094989

Jeremy Wade Klootwyk's National Provider Identifier is 1952094989, issued on May 26, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on May 26, 2023.