GLENN YAMAGATA
NPI 1689415374
Peer Specialist in Portland, OR

Active since June 05, 2024
8832 SE 16TH AVE, PORTLAND, OR 97202(503) 486-7377 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn Yamagata NPPES

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

GLENN YAMAGATA (NPI 1689415374) is an individual peer specialist in Portland, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1689415374
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGLENN YAMAGATA
Location Address8832 SE 16TH AVEPortland, OR 97202-7219
Mailing Address8832 Se 16th AvePortland, OR 97202-7219
Sole ProprietorNo
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
NPI 1689415374 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.
8832 SE 16TH AVE, Portland, OR 97202

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
8832 SE 16TH AVE
PORTLAND, OR 97202
Peer Specialist
8832 SE 16TH AVE
PORTLAND, OR 97202
Peer Specialist
8832 SE 16TH AVE
PORTLAND, OR 97202

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 Glenn Yamagata's NPI number?

The NPI number for Glenn Yamagata is 1689415374. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Glenn Yamagata located?

Glenn Yamagata practices at 8832 SE 16th Ave, Portland, OR 97202. The listed phone number is (503) 486-7377.

What is Glenn Yamagata'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 Glenn Yamagata was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.