MR. MILTON WILLIAM LOOSMORE CRM NPI 1316311764

NPI Information

  • NPI: 1316311764
  • Provider Name: MR. MILTON WILLIAM LOOSMORE, CRM
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 10580 SE WASHINGTON ST
    PORTLAND, OR
    ZIP 97216
  • Phone: (503) 737-7365

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NPI Details

MR. Milton William Loosmore, CRM is a peer specialist in Portland, 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. Milton William Loosmore, CRM NPI is 1316311764. 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:

10580 SE WASHINGTON ST
PORTLAND, OR
ZIP 97216-809
Phone: (503) 737-7365

The enumeration date for this NPI number is 11/23/2015 and was last updated on 11/23/2015.

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
1175T00000XPeer Specialist15-CRM-173OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1175T00000XMEDICAIDOREGON

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: 3/30/2025

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