JASON MICHAEL TUCKER CRM
NPI 1629825633
Peer Specialist in Ashland, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since May 06, 2024

611 SISKIYOU BLVD STE 8, ASHLAND, OR 97520(541) 482-1718 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jason Michael Tucker Crm NPPES

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

JASON MICHAEL TUCKER CRM (NPI 1629825633) is an individual peer specialist in Ashland, Oregon and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1629825633

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJASON MICHAEL TUCKERCredential: CRM

Location Address611 SISKIYOU BLVD STE 8Ashland, OR 97520-2151

Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373

Phone(541) 482-1718

Sole ProprietorNo

Enumeration DateMay 6, 2024

NPPES CertifiedMay 6, 2024

✔ NPI 1629825633 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.

611 SISKIYOU BLVD STE 8, Ashland, OR 97520

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Other Providers at the Same Location NPPES 11

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

LEAH FERREIRA CADC

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