MR. JAKE DANIEL HAROLD NPI 1710416268

NPI Information

NPI: 1710416268
Provider Name: MR. JAKE DANIEL HAROLD
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
625 NE GALLOWAY ST
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 474-6816
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MR. Jake Daniel Harold is a peer specialist in Mcminnville, 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. MR. Jake Daniel Harold NPI is 1710416268. 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:

625 NE GALLOWAY ST
MCMINNVILLE, OR
ZIP 97128-933
Phone: (503) 474-6816
Fax: (503) 474-7426

The enumeration date for this NPI number is 6/8/2017 and was last updated on 8/11/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			No
2	175T00000X	Peer Specialist				Yes

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

NPI Synchronization or Removal

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