JERMAINE CHRISTOPHER MASON PEER SUPPORT SPECIAL NPI 1487282521

NPI Information

  • NPI: 1487282521
  • Provider Name: JERMAINE CHRISTOPHER MASON, PEER SUPPORT SPECIAL
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 3311 NE MARTIN LUTHER KING JR BLVD STE 104
    PORTLAND, OR
    ZIP 97212
  • Phone: (503) 206-8856

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NPI Details

Jermaine Christopher Mason, PEER SUPPORT SPECIAL 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. Jermaine Christopher Mason, PEER SUPPORT SPECIAL NPI is 1487282521. 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:

3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR
ZIP 97212-086
Phone: (503) 206-8856
Fax: (503) 327-8318

The enumeration date for this NPI number is 4/1/2020 and was last updated on 4/1/2020.

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 SpecialistTHW000004033OREGONYes

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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