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KELLY ANGELA OVERDORF NPI 1053907444


NPI Information

NPI: 1053907444
Provider Name: KELLY ANGELA OVERDORF
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2577 NE COURTNEY DR
BEND, OR
ZIP 97701
Phone: (541) 322-7500
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Kelly Angela Overdorf is a peer specialist in Bend, OR. The provider is 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. Kelly Angela Overdorf NPI is 1053907444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2577 NE COURTNEY DR
BEND, OR
ZIP 97701-752
Phone: (541) 322-7500
Fax: (541) 322-7565

The enumeration date for this NPI number is 12/18/2020 and was last updated on 1/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistL1234OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.