Individual provider · Type 1 NPI

Tye Dewald

Peer Specialist · Milwaukie, OR

NPI number 1982175378 Active

Practice location

11073 SE Main St
Milwaukie, OR 97222-7645

Call (503) 592-3204 Map

Mailing address

21356 Hubbard Cutoff Rd NE Unit 9
Aurora, OR 97002-8401

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 1982175378

Tye Dewald's National Provider Identifier is 1982175378, issued on Dec 10, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Milwaukie, OR. The record was last updated on Dec 10, 2018.