TOMICA MONIQUE CARR PEER SPECIALIST NPI 1598428146

NPI Information

NPI: 1598428146
Provider Name: TOMICA MONIQUE CARR, PEER SPECIALIST
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1817 NE 6TH AVE
PORTLAND, OR
ZIP 97212
Phone: (503) 719-7985
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Tomica Monique Carr, PEER SPECIALIST 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. Tomica Monique Carr, PEER SPECIALIST NPI is 1598428146. 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:

1817 NE 6TH AVE
PORTLAND, OR
ZIP 97212-960
Phone: (503) 719-7985

The enumeration date for this NPI number is 10/20/2021 and was last updated on 10/20/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	175T00000X	Peer Specialist			No
2	261Q00000X	Clinic/Center	21-CRM-321	OREGON	No
3	175T00000X	Peer Specialist	21-CRM-321	OREGON	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: 5/5/2024

NPI Synchronization or Removal

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