Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyla M McCormick, CRM

Individual provider Peer Specialist · NPI 1205476777

Kyla M McCormick, CRM is a Peer Specialist in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

109 NW Manzanita Ave
Grants Pass, OR 97526
Phone: (541) 479-8847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 19-CRM-273 (OR)

Record details

NPI number1205476777
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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