Ismond Waters
Ismond Waters is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
605 SE Cesar E Chavez BlvdPortland, OR 97214-3216
Phone: (503) 231-7480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1306620422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2023 |
| Last updated in NPPES | August 21, 2023 |
| Certification date | August 21, 2023 |
| Mailing address | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 |
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