Individual provider · Type 1 NPI

Joresa Diondra Jefferson

Peer Specialist · Portland, OR

NPI number 1952182123 Active

Practice location

3231 SE 50th Ave
Portland, OR 97206-2248

Call (503) 238-5203 Map

Mailing address

18088 SE Market St Apt 112
Portland, OR 97233-5056

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X23-CRM-1585 (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 1952182123

Joresa Diondra Jefferson's National Provider Identifier is 1952182123, issued on Oct 12, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Oct 12, 2023.