Jaqueline Landa
Peer Specialist • Gresham, OR
Professional Overview & Biography Verified Profile Summary
Jaqueline Landa is a registered healthcare professional specializing in Peer Specialist in Gresham, OR. Practice services are available at 1312 E POWELL BLVD under active NPI credentials.
Practice Location & Contact Primary Location
1312 E Powell Blvd
Gresham, OR 970308003
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Gresham, OR
Practicing in Gresham, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-11-18NUCC 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Peer Specialist
Prevention Professional
Master of Arts
Peer Specialist
Bachelor of Arts
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 1312 E POWELL BLVD, GRESHAM, OR 970308003 (Tel: 9717061978)
Registered at 6200 SE KING RD, PORTLAND, OR 972222891 (Tel: 9717061978)
Recorded as JAQUELINE LANDA
Peer Specialist (License #112881 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6200 Se King Rd
Portland, OR 972222891
Phone: 9717061978
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