NPI 1467139634

Tayler Leblanc, PSSCRM

Practitioner Peer Specialist Cottage Grove, OR

Practice location

Address: 75 S 5th St, Cottage Grove, OR 97424-2008
Phone: (541) 767-4218
Mailing address: 1345 Birch Ave, Cottage Grove, OR 97424-1416

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 109227 (OR)

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Registry record

NPI: 1467139634
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2023
Record last updated: 29 Jun 2023

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.