JUSTIN DORE MASON CRM, PSS - NPI 1952062309 - Peer Specialist in Newport, OR

Q: What is the provider's specialty?

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

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About Justin Dore Mason Crm, Pss NPPES

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

JUSTIN DORE MASON CRM, PSS (NPI 1952062309) is an individual peer specialist in Newport, Oregon, licensed in Oregon (21-CRM-777) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1952062309

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJUSTIN DORE MASONCredential: CRM, PSS

Location Address145 N COAST HWY STE BNewport, OR 97365-3165

Mailing Address145 N Coast Hwy Ste BNewport, OR 97365-3165 · (541) 272-5048 · Fax (541) 264-8754

Phone(541) 272-5048

Fax(541) 264-8754

Sole ProprietorNo

Enumeration DateJanuary 7, 2022

NPPES CertifiedJanuary 7, 2022

✔ NPI 1952062309 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 · 21-CRM-777

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.

145 N COAST HWY STE B, Newport, OR 97365

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