COLE DOUGLAS CARTER CRM NPI 1932903614

NPI Information

  • NPI: 1932903614
  • Provider Name: COLE DOUGLAS CARTER, CRM
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 SE CASS AVE STE 110
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 677-5520

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NPI Details

Cole Douglas Carter, CRM is a peer specialist in Roseburg, OR with 2 years of experience. 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. Cole Douglas Carter, CRM NPI is 1932903614. 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:

500 SE CASS AVE STE 110
ROSEBURG, OR
ZIP 97470-165
Phone: (541) 677-5520
Fax: (855) 670-1788

The NPI 1932903614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/2/2025 and was last updated on 4/2/2025.

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 Specialist24-CRM-3799OREGONYes

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: 11/21/2025

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