JO ANNE COLLOM CRM - NPI 1821704370 - Peer Specialist in Eugene, OR

Q: What is Jo Collom's NPI number?

The NPI number for Jo Collom is 1821704370. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Q: What is Jo Collom'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 Jo Collom was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jo Anne Collom Crm NPPES

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

JO ANNE COLLOM CRM (NPI 1821704370) is an individual peer specialist in Eugene, Oregon, licensed in Oregon (22-CRM-1320) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1821704370

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJO ANNE COLLOMCredential: CRM

Location Address315 COBURG RD STE CEugene, OR 97401-6114

Mailing Address84617 Sarvis Berry LnEugene, OR 97405-9452 · (541) 301-4361

Phone(541) 525-3139

Sole ProprietorNo

Enumeration DateJanuary 27, 2023

NPPES CertifiedJanuary 27, 2023

✔ NPI 1821704370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 22-CRM-1320

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.

315 COBURG RD STE C, Eugene, OR 97401

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