Jack White , CRM, THW
Peer Specialist • Coos Bay, OR
Professional Overview & Biography Verified Profile Summary
Jack White, CRM, THW is a registered healthcare professional specializing in Peer Specialist in Coos Bay, OR. Practice services are available at 1741 NEWMARK AVE under active NPI credentials.
Practice Location & Contact Primary Location
1741 Newmark Ave
Coos Bay, OR 974204704
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Coos Bay, OR
Practicing in Coos Bay, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-09-13NUCC Taxonomy Code: 175T00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Counselor - Addiction (Substance Use Disorder)
Peer Specialist
Peer Specialist
Peer Specialist
Peer Specialist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1741 NEWMARK AVE, COOS BAY, OR 974204704 (Tel: 5418517151)
Registered at 155 S EMPIRE BLVD, COOS BAY, OR 974203374 (Tel: 5418517151)
Recorded as JACK WHITE, CRM , THW
Peer Specialist (License #22-CRM-1099 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
155 S Empire Blvd
Coos Bay, OR 974203374
Phone: 5418517151
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.