JACKLYN RAYMOND
NPI 1093415499
Peer Specialist in Mcminnville, OR
- Individual
- Female
- Peer Specialist
About JACKLYN RAYMOND
This page provides the complete NPI Profile along with additional information for Jacklyn Raymond, a provider established in Mcminnville, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1093415499 assigned on March 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1093415499 Verify this NPI
- Provider Name
- JACKLYN RAYMOND
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 213 NE 10TH ST MCMINNVILLE, OR 97128
- Location Phone
- (971) 261-2254
- Mailing Address
- 627 NE EVANS ST MCMINNVILLE, OR 97128
- Mailing Phone
- (971) 261-2254
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-06-2023
- Last Update Date
- 03-06-2023
- 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
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093415499, enumerated as an "individual" on March 06, 2023.
The provider is located at 213 NE 10TH ST MCMINNVILLE, OR 97128 and the phone number is (971) 261-2254.
Peer Specialist with taxonomy code 175T00000X.