Individual
ANGELA VIVIENNE WRITESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.S.S.
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
(541) 984-3124
Mailing address
1082 MAIN ST APT 205, SPRINGFIELD, OR 97477-4852
(541) 653-0795
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW2239
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW2239
TRADITIONAL HEALTH WORKER, PEER SUPPORT SPECIALIST ADULTS MENTAL HEALTH
OR
Enumeration date
10/13/2017
Last updated
10/13/2017
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