PAUL MICHAEL EMMONS PEER SUPPORT NPI 1962183293

NPI Information

  • NPI: 1962183293
  • Provider Name: PAUL MICHAEL EMMONS, PEER SUPPORT
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 39 SE COURT AVE STE 202
    PENDLETON, OR
    ZIP 97801
  • Phone: (541) 862-4357

Map and Directions

Get Directions

NPI Details

Paul Michael Emmons, PEER SUPPORT is a peer specialist in Pendleton, 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. Paul Michael Emmons, PEER SUPPORT NPI is 1962183293. 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:

39 SE COURT AVE STE 202
PENDLETON, OR
ZIP 97801-228
Phone: (541) 862-4357

The enumeration date for this NPI number is 7/28/2023 and was last updated on 5/7/2024.

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 SpecialistYes

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
11396592663MEDICAIDOREGON

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI