KAIWI RUTH VALENTINE MURDOCK CPSS NPI 1134657638

NPI Information

NPI: 1134657638
Provider Name: KAIWI RUTH VALENTINE MURDOCK, CPSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1913 MEADE ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 479-5901
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Kaiwi Ruth Valentine Murdock, CPSS is a peer specialist in North Bend, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kaiwi Ruth Valentine Murdock, CPSS NPI is 1134657638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1913 MEADE ST
NORTH BEND, OR
ZIP 97459-432
Phone: (541) 479-5901

The enumeration date for this NPI number is 5/27/2017 and was last updated on 6/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist			OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R58765252	OTHER		BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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