What is Camilla Peterson's NPI number?

The NPI number assigned to this healthcare provider is 1801631312, enumerated as a individual on June 26, 2024.

Where is the provider located?

The provider is located at 2210 N ELDORADO AVE KLAMATH FALLS, OR 97601 and the phone number is (541) 883-1030.

What is the provider's specialty?

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

CAMILLA TATIANA PETERSON - NPI 1801631312 - Peer Specialist in Klamath Falls, OR

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About Camilla Tatiana Peterson NPPES

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

CAMILLA TATIANA PETERSON (NPI 1801631312) is an individual peer specialist in Klamath Falls, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1801631312

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameCAMILLA TATIANA PETERSON

Location Address2210 N ELDORADO AVEKlamath Falls, OR 97601-6418

Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418 · (541) 883-1030

Phone(541) 883-1030

Sole ProprietorNo

Enumeration DateJune 26, 2024

NPPES CertifiedJune 26, 2024

✔ NPI 1801631312 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.

2210 N ELDORADO AVE, Klamath Falls, OR 97601

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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.

CYNTHIA R POTTER BSW

Case Manager/Care Coordinator