Organization
CHANGING PERCEPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA KELLOGG THW (PEER SUPPORT SPECIALIST)
(503) 290-4513
Entity
Organization
Contact information
Practice address
1720 NW LOVEJOY ST # 329, PORTLAND, OR 97209-2346
(503) 290-4513
Mailing address
PO BOX 2071, PORTLAND, OR 97208-2071
(503) 290-4513
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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