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JEROMY ALLEN WILLDEN
NPI 1740931617
Peer Specialist in Bend, OR

Active since January 12, 2022
2577 NE COURTNEY DRIVE,, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeromy Allen Willden NPPES

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

JEROMY ALLEN WILLDEN (NPI 1740931617) is an individual peer specialist in Bend, Oregon and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1740931617
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEROMY ALLEN WILLDEN
Location Address2577 NE COURTNEY DRIVE,Bend, OR 97701-7638
Mailing Address2577 Ne Courtney Drive,Bend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1740931617 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.
2577 NE COURTNEY DRIVE,, Bend, OR 97701
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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 Jeromy Willden's NPI number?

The NPI number for Jeromy Willden is 1740931617. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Jeromy Willden located?

Jeromy Willden practices at 2577 NE Courtney Drive,, Bend, OR 97701. The listed phone number is (541) 322-7500.

What is Jeromy Willden'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 Jeromy Willden was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.