Deborah Nicolette Hall in Salem - Peer Specialist
Deborah Nicolette Hall - NPI 1497891451
Deborah Nicolette Hall is a Peer Specialist in Salem, Oregon. Deborah Nicolette Hall practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Deborah Nicolette Hall is 1497891451. The last update date is 2021-09-14.
Deborah Nicolette Hall's current location address is 2995 Ryan Dr Se Ste 200, Salem, Oregon. You can contact this provider via phone number 5035804557. The mailing address for Deborah Nicolette Hall is 2995 Ryan Dr Se Ste 200, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Nicolette Hall |
|---|---|
| Address | 2995 Ryan Dr Se Ste 200, Salem, Oregon |
| Phone Number | 5035804557 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1497891451 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2021-09-14 |
Provider Mailing Address Detail
| Address | 2995 Ryan Dr Se Ste 200 |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973015157 |
| Phone Number | 5035804557 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Peer Specialist |
|---|---|
| Taxonomy | 175T00000X |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1939-02-11 00:0 | OR | CADC |
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What is the unique identification code assigned to Deborah Nicolette Hall by the Centers for Medicare & Medicaid Services?
The Deborah Nicolette Hall has been issued the NPI (National Provider Identifier) 1497891451. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Deborah Nicolette Hall's physical address?
The Deborah Nicolette Hall is physically located at 2995 Ryan Dr Se Ste 200, in the city of Salem, OR, with the postal code 973015157.
What is the Deborah Nicolette Hall's specialty and taxonomy code?
The Deborah Nicolette Hall's specialty is Peer Specialist, and the corresponding taxonomy code is 175T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497891451 to Deborah Nicolette Hall?
The Centers for Medicare & Medicaid Services assigned the 1497891451 to Deborah Nicolette Hall on 2007-01-29.
As of what date were the Deborah Nicolette Hall's details last updated?
The information pertaining to the Deborah Nicolette Hall, including its address, specialty, and other details, was most recently updated on 2021-09-14.