JUSTIN NEAL SCHUMACHER PRC PWS CRM PSS NPI 1699300095

NPI Information

NPI: 1699300095
Provider Name: JUSTIN NEAL SCHUMACHER, PRC, PWS, CRM, PSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
173 NE 102ND AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 906-9995
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Justin Neal Schumacher, PRC, PWS, CRM, PSS 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. Justin Neal Schumacher, PRC, PWS, CRM, PSS NPI is 1699300095. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

173 NE 102ND AVE
PORTLAND, OR
ZIP 97220-169
Phone: (503) 906-9995

The enumeration date for this NPI number is 3/5/2020 and was last updated on 3/5/2020.

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
1	175T00000X	Peer Specialist		19-PRC-16	OREGON	Yes

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
1	THW000003153	OTHER	OREGON	OREGON HEALTH AUTHORITY
2	19-PRC-16	OTHER	OREGON	MHACBO

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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