Most Relevant Information
Provider Data
| NPI Number: | 1003482936 |
| Provider Name: | STEVE CRAIN PEER SUPPRT |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2021 |
| Last Updated: | 06/01/2021 |
Provider Practice Location
908 NE 4TH ST STE 101
BEND
OR
977014646
Practice Location Phone/Fax
| Phone: | 5416177365 |
| Fax: |
Provider Mailing Location
PO BOX 1710
REDMOND
OR
977560516
Provider Mailing Phone/Fax
| Phone: | 5416177365 |
| Fax: |