MICHAEL SKETCH


Address: 3325 Harold Dr Ne, Salem, OR 97305-1339
Phone: 5033632021

MICHAEL SKETCH (NPI# 1699338681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699338681
Entity Type Individual
Full Name MICHAEL SKETCH
Credential CGAC II, CGRM
Practice Address 3325 Harold Dr Ne
Salem
OR 97305-1339
Mailing Address Po Box 17818
Salem
OR 97305-7818
Practice Telephone 5033632021
Enumeration Date 2019-04-16
Last Update Date 2019-04-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor G171102 OR Behavioral Health & Social Service Providers
Y 175T00000X Peer Specialist 15CGRM001 OR Other Service Providers

Other Providers MICHAEL SKETCH

NPI Name Taxonomy Address Enumeration
1306920269 Michael Sketch Internal Medicine 2100 Erwin Rd, Durham, NC 27710-0001 2006-10-25

Office Location

Street Address 3325 HAROLD DR NE
City SALEM
State OR
Zip Code 97305-1339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679520787 Cascadia Behavioral Healthcare Inc Clinic/Center 3325 Harold Dr Ne, Salem, OR 97305-1339 2006-05-27
1780202432 Mary Greer Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2020-07-09
1992364566 Debra Ross Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2019-06-07
1700352754 Julia Humphreville Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-10-17
1649770884 Justin Lee Mac Peer Specialist 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-02-14
1659870996 Donna Estelle Hoffman Registered Nurse 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-02-01
1801303102 Jeffrey Spears I Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-01-08
1023529138 Marcelina Raya Bueno Peer Specialist 3325 Harold Dr Ne, Salem, OR 97305-1339 2017-10-16
1932628955 Brittany A Wyas Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2017-09-11
1376073874 Paige Matthews Counselor 3325 Harold Dr Ne, Salem, OR 97305 2017-06-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528677820 Charice Monette Peer Specialist 4151 Kacey Cir Ne, Salem, OR 97305-4504 2020-07-23
1821649336 Christopher Adam Handy Peer Specialist 3050 Park Ave Ne, Salem, OR 97301-8615 2019-09-25
1922505767 Amy Nicole Cozad Peer Specialist 4275 Commercial St Se Ste 180, Salem, OR 97302-4087 2018-04-09
1649785817 Keileigh Joy Dull Peer Specialist 3213 Center St Ne, Salem, OR 97301-4666 2017-12-08
1104331370 Christina E Higgins Korkow Peer Specialist 2555 Silverton Rd Ne, Salem, OR 97301-0837 2017-12-08
1437682044 Debra Janae Rice Peer Specialist 2555 Silverton Rd Ne Ste C, Salem, OR 97301-0837 2017-04-10
1952834194 Brian Smith Peer Specialist 769 Hawthorne Ave Ne, Salem, OR 97301-4623 2017-04-05
1588013577 Sarah Harris Peer Specialist 4255 32nd Pl Ne, Salem, OR 97301-6735 2016-06-09
1194187476 Tammi Paul Peer Specialist 1300 Broadway St Ne Ste 403, Salem, OR 97301-1420 2016-03-24
1710343926 Teresa Anne Sims Peer Specialist 1599 State Street Ne, Salem, OR 97301 2016-01-05
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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