ALYSSE LYNETTE BORBA CRMII PSS CRGM NPI 1386284685

NPI Information

  • NPI: 1386284685
  • Provider Name: ALYSSE LYNETTE BORBA, CRMII, PSS, CRGM
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1111 CRATER LAKE AVE
    MEDFORD, OR
    ZIP 97504
  • Phone: (971) 219-3314

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NPI Details

Alysse Lynette Borba, CRMII, PSS, CRGM is a peer specialist in Medford, 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. Alysse Lynette Borba, CRMII, PSS, CRGM NPI is 1386284685. 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:

1111 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504-241
Phone: (971) 219-3314

The enumeration date for this NPI number is 1/14/2020 and was last updated on 9/19/2024.

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 Specialist23-CRM-II-0138OREGONYes

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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