REBEKKA KRUSE - NPI 1760004949 - Peer Specialist in Portland, OR

Q: What is Rebekka Kruse's NPI number?

The NPI number for Rebekka Kruse is 1760004949. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Rebekka Kruse'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 Rebekka Kruse was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rebekka Kruse NPPES

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

REBEKKA KRUSE (NPI 1760004949) is an individual peer specialist in Portland, Oregon and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1760004949

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameREBEKKA KRUSE

Location Address30 NE MLK BLVDPortland, OR 97232-2941

Mailing Address11615 Se Taylor StPortland, OR 97216-3829

Phone(503) 232-1099

Sole ProprietorNo

Enumeration DateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1760004949 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.

30 NE MLK BLVD, Portland, OR 97232

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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.

MR. TYLER WILLIAM HERNANDEZ KADELL

Case Manager/Care Coordinator