Individual provider · Type 1 NPI

Angela Ludtke

Peer Specialist · Seaside, OR

NPI number 1982481875 Active

Practice location

2367 S Roosevelt Dr # R
Seaside, OR 97138-6550

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

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 1982481875

Angela Ludtke's National Provider Identifier is 1982481875, issued on Sep 13, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Seaside, OR. The record was last updated on Sep 13, 2023.