RONNI WALTZ PSS
NPI 1144785064
Peer Specialist in Coos Bay, OR
- Individual
- Female
- Peer Specialist
About RONNI WALTZ
This page provides the complete NPI Profile along with additional information for Ronni Waltz, a provider established in Coos Bay, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1144785064 assigned on February 2019. The practitioner's primary taxonomy code is 175T00000X with license number THW000003325 (OR). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1144785064 Verify this NPI
- Provider Name
- RONNI WALTZ PSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 155 S EMPIRE BLVD COOS BAY, OR 97420
- Location Phone
- (541) 756-3111
- Location Fax
- (541) 756-2111
- Mailing Address
- 1942 SHERIDAN AVE NORTH BEND, OR 97459
- Mailing Phone
- (541) 756-3111
- Mailing Fax
- (541) 756-2111
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-05-2019
- Last Update Date
- 02-05-2019
- Code Navigator
Location Map
Secondary Locations
- 1942 Sheridan Ave
North Bend, OR 97459
(541) 756-3111
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.
- THW000003325
- 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.
COOS BAY, OR 97420
COOS BAY, OR 97420
COOS BAY, OR 97420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144785064, enumerated as an "individual" on February 05, 2019.
The provider is located at 155 S EMPIRE BLVD COOS BAY, OR 97420 and the phone number is (541) 756-3111.
Peer Specialist with taxonomy code 175T00000X.