BURL AMBER SMITH PSS
NPI 1942070982
Peer Specialist in Bend, OR

Q: What is the provider's specialty?

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

Active since January 02, 2024

20370 POE SHOLES DR, BEND, OR 97703(541) 318-1377 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Burl Amber Smith Pss NPPES

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

BURL AMBER SMITH PSS (NPI 1942070982) is an individual peer specialist in Bend, Oregon, licensed in Oregon (THW000109693) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1942070982

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameBURL AMBER SMITHCredential: PSS

Location Address20370 POE SHOLES DRBend, OR 97703-7938

Mailing Address1943 Ne Higher Ground AveBend, OR 97701-6487 · (831) 920-7201

Phone(541) 318-1377

Sole ProprietorYes

Enumeration DateJanuary 2, 2024

NPPES CertifiedJanuary 2, 2024

✔ NPI 1942070982 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 · THW000109693

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.

20370 POE SHOLES DR, Bend, OR 97703

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