Jerome Cross
Jerome Cross is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
33 NW BroadwayPortland, OR 97209-3580
Phone: (503) 228-7134
Fax: (503) 501-5679
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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 22-CRM-1117 (OR) |
|---|
Record details
| NPI number | 1275301897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 13, 2023 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
| Mailing address | 232 Nw 6th Ave, Portland, OR 97209-3609 |
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