Individual provider · Type 1 NPI

Bryan Daniel Baca, CRM

Peer Specialist · Siletz, OR

NPI number 1972244861 Active

Practice location

200 Gwee Shut Rd
Siletz, OR 97380-2036

Call (541) 444-9631 Map

Mailing address

PO Box 320
Siletz, OR 97380-0320

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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 1972244861

Bryan Daniel Baca, CRM's National Provider Identifier is 1972244861, issued on Apr 5, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Siletz, OR. The record was last updated on Apr 5, 2022.