JEREMY WADE KLOOTWYK
NPI 1952094989
Peer Specialist in Salem, OR

Q: What is Jeremy Klootwyk's NPI number?

The NPI number for Jeremy Klootwyk is 1952094989. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Q: What is Jeremy Klootwyk'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 Jeremy Klootwyk was last updated on May 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2023

1011 COMMERCIAL ST NE, SALEM, OR 97301(503) 983-9900 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jeremy Wade Klootwyk NPPES

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

JEREMY WADE KLOOTWYK (NPI 1952094989) is an individual peer specialist in Salem, Oregon, licensed in Oregon (23-CRM-1999) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1952094989

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJEREMY WADE KLOOTWYK

Location Address1011 COMMERCIAL ST NESalem, OR 97301-1049

Mailing Address1011 Commercial St NeSalem, OR 97301-1049 · (503) 983-9900

Phone(503) 983-9900

Sole ProprietorNo

Enumeration DateMay 26, 2023

NPPES CertifiedMay 26, 2023

✔ NPI 1952094989 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 · 23-CRM-1999

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.

1011 COMMERCIAL ST NE, Salem, OR 97301

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