PRESTON GARDNER - NPI 1326574807 - Peer Specialist in Portland, OR

Q: What is Preston Gardner's NPI number?

The NPI number for Preston Gardner is 1326574807. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Q: What is Preston Gardner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Preston Gardner was last updated on May 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Preston Gardner NPPES

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

PRESTON GARDNER (NPI 1326574807) is an individual peer specialist in Portland, Oregon and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1326574807

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NamePRESTON GARDNER

Location Address2901 E BURNSIDE STPortland, OR 97214-1831

Mailing Address2901 E Burnside StPortland, OR 97214-1831 · (503) 238-5203 · Fax (503) 238-5202

Phone(503) 238-5203

Fax(503) 238-5202

Sole ProprietorNo

Enumeration DateMay 3, 2017

✔ NPI 1326574807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

2901 E BURNSIDE ST, Portland, OR 97214

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AUTUMN BROWN CADC I

Counselor (Addiction (Substance Use Disorder))