JEREMIAH GLEN SPRAY NPI 1124780507

NPI Information

Jeremiah Glen Spray 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. Jeremiah Glen Spray NPI is 1124780507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 10/12/2021 and was last updated on 10/12/2021.

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:

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