Individual provider · Type 1 NPI

Debra Ross

Peer Specialist · Salem, OR

NPI number 1992364566 Active

Practice location

3325 Harold Dr NE
Salem, OR 97305-1339

Mailing address

PO Box 17818
Salem, OR 97305-7818

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19-03-08 (OR)
Peer Specialist Primary 175T00000X19-CGRM-001 (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 1992364566

Debra Ross's National Provider Identifier is 1992364566, issued on Jun 7, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Jun 7, 2019.