Jeremy Wade Klootwyk
Jeremy Wade Klootwyk is a Peer Specialist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
1011 Commercial St NESalem, OR 97301-1049
Phone: (503) 983-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 23-CRM-1999 (OR) |
|---|
Record details
| NPI number | 1952094989 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 26, 2023 |
| Last updated in NPPES | May 26, 2023 |
| Certification date | May 26, 2023 |
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