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JAQUELINE LANDA
NPI 1356159784
Peer Specialist in Gresham, OR

Active since December 18, 2024
1312 E POWELL BLVD, GRESHAM, OR 97030(971) 706-1978 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaqueline Landa NPPES

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

JAQUELINE LANDA (NPI 1356159784) is an individual peer specialist in Gresham, Oregon, licensed in Oregon (112881) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1356159784
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJAQUELINE LANDA
Location Address1312 E POWELL BLVDGresham, OR 97030-8003
Mailing Address6200 Se King RdPortland, OR 97222-2891 · (971) 706-1978
Phone(971) 706-1978
Sole ProprietorNo
Enumeration DateDecember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1356159784 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 · 112881
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.
1312 E POWELL BLVD, Gresham, OR 97030
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Other Providers at the Same Location NPPES 4

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

JENNIFER BELTRAN
Peer Specialist
1312 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (971) 322-3246
MARLENE DIAZ AGUILAR
Peer Specialist
1312 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (971) 427-4222
MR. JOSE LUIS DE LA TORRE JR. MA
Prevention Professional
1312 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (503) 546-6377
STEPHANIE COLLADO BA
Peer Specialist
1312 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (503) 546-6377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaqueline Landa's NPI number?

The NPI number for Jaqueline Landa is 1356159784. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Jaqueline Landa located?

Jaqueline Landa practices at 1312 E Powell Blvd, Gresham, OR 97030. The listed phone number is (971) 706-1978.

What is Jaqueline Landa's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaqueline Landa was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.