Stina Ann Altheide

Individual provider Active NPI Peer Specialist · Springfield, OR

NPI 1689373334 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1689373334
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
3995 Marcola Rd
Springfield, OR 97477-7948
Phone
(541) 726-1465
Fax
(541) 726-5085
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

3995 Marcola Rd
Springfield, OR 97477-7948

Mailing address

3995 Marcola Rd
Springfield, OR 97477-7948
Phone (541) 726-1465

Other providers in Springfield, OR

All providers in Springfield, OR · Peer Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.