What is Braeden Page's NPI number?

The NPI number assigned to this healthcare provider is 1083325229, enumerated as a individual on December 8, 2022.

Where is the provider located?

The provider is located at 58646 MCNULTY WAY SAINT HELENS, OR 97051 and the phone number is (503) 396-0823.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

BRAEDEN STEVEN ALLEN PAGE - NPI 1083325229 - Peer Specialist in Saint Helens, OR

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About Braeden Steven Allen Page NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAEDEN STEVEN ALLEN PAGE (NPI 1083325229) is an individual peer specialist in Saint Helens, Oregon, licensed in Oregon (107842) and active in the NPI registry since December 2022. He maintains a secondary practice location in Milwaukie.

NPPES Registry Identity

NPI1083325229

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameBRAEDEN STEVEN ALLEN PAGE

Location Address58646 MCNULTY WAYSaint Helens, OR 97051-6210

Mailing Address30636 Brownlee RdRainier, OR 97048-3701 · (503) 396-0823

Phone(503) 396-0823

Sole ProprietorNo

Enumeration DateDecember 8, 2022

NPPES CertifiedDecember 8, 2022

✔ NPI 1083325229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 107842

Definition

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.

58646 MCNULTY WAY, Saint Helens, OR 97051

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