Individual provider · Type 1 NPI
Rudena Marie Delazerda
Peer Specialist · Estacada, OR
NPI number
1952107229
Active
Practice location
820 NW Wade St Unit 9
Estacada, OR 97023-9594
Mailing address
5415 SW Westgate Dr
Portland, OR 97221-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| 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.
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About NPI 1952107229
Rudena Marie Delazerda's National Provider Identifier is 1952107229, issued on Feb 19, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Estacada, OR. The record was last updated on Feb 19, 2025.