NPI 1003308917

Jeremy Gordon Allen

Practitioner Peer Specialist Salem, OR

Practice location

Address: 2555 Silverton Rd NE, Salem, OR 97301-0837
Phone: (971) 283-2776
Mailing address: 1115 Madison St NE # 222, Salem, OR 97301-7862

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oregon →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1003308917
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2018
Record last updated: 2 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.