MARK ANTHONY HALLORAN PSS CRM NPI 1710693544

NPI Information

NPI: 1710693544
Provider Name: MARK ANTHONY HALLORAN, PSS, CRM
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
5415 SW WESTGATE DR
PORTLAND, OR
ZIP 97221
Phone: (971) 727-8026
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Mark Anthony Halloran, PSS, 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. Mark Anthony Halloran, PSS, CRM NPI is 1710693544. 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:

5415 SW WESTGATE DR
PORTLAND, OR
ZIP 97221-409
Phone: (971) 727-8026

The enumeration date for this NPI number is 1/25/2023 and was last updated on 1/25/2023.

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		000106008	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	000106008	OTHER	OREGON	TRADITIONAL HEALTH WORKER

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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