SHERI THERESA BOLAM NPI 1154080406

NPI Information

NPI: 1154080406
Provider Name: SHERI THERESA BOLAM
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
213 NE 10TH ST
MCMINNVILLE, OR
ZIP 97128
Phone: (971) 261-2254
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Sheri Theresa Bolam is a peer specialist in Mcminnville, 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. Sheri Theresa Bolam NPI is 1154080406. 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:

213 NE 10TH ST
MCMINNVILLE, OR
ZIP 97128-825
Phone: (971) 261-2254

The enumeration date for this NPI number is 12/14/2021 and was last updated on 12/14/2021.

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				Yes

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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