Jonathan L Roeder
Jonathan L Roeder is a Peer Specialist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
4275 Commercial St SE Ste 180Salem, OR 97302-4087
Phone: (806) 850-3363
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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 THW000004071 (OR) |
|---|
Record details
| NPI number | 1871129502 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 13, 2020 |
| Last updated in NPPES | March 13, 2020 |
| Certification date | March 13, 2020 |
| Mailing address | 4275 Commercial St Se Ste 180, Salem, OR 97302-4087 |
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