MARK CHRISTOPHER DANNEMAN
NPI 1992413413
Peer Specialist in Portland, OR

Q: What is the provider's specialty?

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

Active since November 14, 2022

3036 NE MLK JR BLVD, PORTLAND, OR 97212(503) 283-3763 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Christopher Danneman NPPES

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

MARK CHRISTOPHER DANNEMAN (NPI 1992413413) is an individual peer specialist in Portland, Oregon and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1992413413

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMARK CHRISTOPHER DANNEMAN

Location Address3036 NE MLK JR BLVDPortland, OR 97212-3053

Mailing AddressPo Box 8459Portland, OR 97207-8459

Phone(503) 283-3763

Sole ProprietorNo

Enumeration DateNovember 14, 2022

NPPES CertifiedNovember 14, 2022

✔ NPI 1992413413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

3036 NE MLK JR BLVD, Portland, OR 97212

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Other Providers at the Same Location NPPES 20

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

MARY COULTON

Peer Specialist