JONATHAN L ROEDER
NPI 1871129502
Peer Specialist in Salem, OR

Active since March 13, 2020
4275 COMMERCIAL ST SE STE 180, SALEM, OR 97302(806) 850-3363 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan L Roeder NPPES

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

JONATHAN L ROEDER (NPI 1871129502) is an individual peer specialist in Salem, Oregon, licensed in Oregon (THW000004071) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1871129502
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJONATHAN L ROEDER
Location Address4275 COMMERCIAL ST SE STE 180Salem, OR 97302-4087
Mailing Address4275 Commercial St Se Ste 180Salem, OR 97302-4087 · (806) 850-3363
Sole ProprietorNo
Enumeration DateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
NPI 1871129502 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 · THW000004071
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.
4275 COMMERCIAL ST SE STE 180, Salem, OR 97302

Other Identifiers 1

OtherTHW000004071OR · Traditional Health Care Worker

Other Providers at the Same Location NPPES 5

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

Peer Specialist
4275 COMMERCIAL ST SE STE 180
SALEM, OR 97302
Peer Specialist
4275 COMMERCIAL ST SE STE 180
SALEM, OR 97302
Peer Specialist
4275 COMMERCIAL ST SE STE 180
SALEM, OR 97302
Peer Specialist
4275 COMMERCIAL ST SE STE 180
SALEM, OR 97302
Peer Specialist
4275 COMMERCIAL ST SE STE 180
SALEM, OR 97302

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 Jonathan Roeder's NPI number?

The NPI number for Jonathan Roeder is 1871129502. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Jonathan Roeder located?

Jonathan Roeder practices at 4275 Commercial St SE Ste 180, Salem, OR 97302. The listed phone number is (806) 850-3363.

What is Jonathan Roeder'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 Jonathan Roeder was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.