ANGELA ANTONIA ANDERSON PSS NPI 1851759245

NPI Information

NPI: 1851759245
Provider Name: ANGELA ANTONIA ANDERSON, PSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1003 E MAIN ST STE 104
MEDFORD, OR
ZIP 97504
Phone: (541) 779-1282
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Angela Antonia Anderson, PSS 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. Angela Antonia Anderson, PSS NPI is 1851759245. 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:

1003 E MAIN ST STE 104
MEDFORD, OR
ZIP 97504
Phone: (541) 779-1282
Fax: (541) 608-2888

The enumeration date for this NPI number is 2/1/2016 and was last updated on 1/28/2020.

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	171M00000X	Case Manager/Care Coordinator		THW000003687	OREGON	No
2	175T00000X	Peer Specialist		THW000003687	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: 4/28/2024

NPI Synchronization or Removal

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