JENNIFER MAE BARKSDALE
NPI 1992375182
Peer Specialist in Tillamook, OR

Q: What is the provider's specialty?

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

Active since June 29, 2021

906 MAIN AVE, TILLAMOOK, OR 97141(503) 842-8201(503) 815-1870 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Mae Barksdale NPPES

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

JENNIFER MAE BARKSDALE (NPI 1992375182) is an individual peer specialist in Tillamook, Oregon, licensed in Oregon (THW000105014) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1992375182

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJENNIFER MAE BARKSDALE

Location Address906 MAIN AVETillamook, OR 97141-3816

Mailing Address906 Main AveTillamook, OR 97141-3816 · (503) 842-8201 · Fax (503) 815-1870

Phone(503) 842-8201

Fax(503) 815-1870

Sole ProprietorNo

Enumeration DateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1992375182 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 · THW000105014

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.

906 MAIN AVE, Tillamook, OR 97141

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