MR. DANIEL WAYNE INGHAM CRM
NPI 1083357339
Peer Specialist in Medford, OR
- Individual
- Male
- Peer Specialist
About DANIEL INGHAM
This page provides the complete NPI Profile along with additional information for Daniel Ingham, a provider established in Medford, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1083357339 assigned on April 2022. The practitioner's primary taxonomy code is 175T00000X with license number 22-CRM-978 (OR). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1083357339 Verify this NPI
- Provider Name
- MR. DANIEL WAYNE INGHAM CRM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1003 E MAIN ST STE 104 MEDFORD, OR 97504
- Location Phone
- (541) 779-1282
- Mailing Address
- 1003 E MAIN ST STE 104 MEDFORD, OR 97504
- Mailing Phone
- (541) 779-1282
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-14-2022
- Last Update Date
- 04-14-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 22-CRM-978
- License State
- OR
- Taxonomy Description
- 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MEDFORD, OR 97504
MEDFORD, OR 97504
MEDFORD, OR 97504
MEDFORD, OR 97504
MEDFORD, OR 97504
MEDFORD, OR 97504
MEDFORD, OR 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083357339, enumerated as an "individual" on April 14, 2022.
The provider is located at 1003 E MAIN ST STE 104 MEDFORD, OR 97504 and the phone number is (541) 779-1282.
Peer Specialist with taxonomy code 175T00000X.
