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

Zackeria Rl Privett, PSS

Individual provider Peer Specialist · NPI 1578359097

Zackeria Rl Privett, PSS is a Peer Specialist in Grants Pass, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

205 Fruitdale Dr
Grants Pass, OR 97527-5267
Phone: (541) 476-2373
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1578359097
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 20, 2025

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