NPI 1003629155

Alana Flynn, CRM

Practitioner Peer Specialist Portland, OR

Practice location

Address: 6828 SE Holgate Blvd, Portland, OR 97206-3504
Phone: (503) 795-3987

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 24-CRM-3533 (OR)

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Registry record

NPI: 1003629155
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2025
Record last updated: 30 Jan 2025

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.