DONALD RAY BRYSON


Address: 1605 E Lincoln Rd, Woodburn, OR 97071
Phone: 5039829300

DONALD RAY BRYSON (NPI# 1750853651) 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) 1750853651
Entity Type Individual
Full Name DONALD RAY BRYSON
Credential PEER SUPPORT
Practice Address 1605 E Lincoln Rd
Woodburn
OR 97071
Mailing Address 1605 E Lincoln Rd
Woodburn
OR 97071-5137
Practice Telephone 5039829300
Mailing Telephone 5039829300
Enumeration Date 2018-12-18
Last Update Date 2018-12-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1605 E LINCOLN RD
City WOODBURN
State OR
Zip Code 97071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073601647 Telecare Mental Health Services of Oregon, Inc Psychiatric Residential Treatment Facility 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2006-10-10
1528674397 Dylan Jessen Case Manager/Care Coordinator 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2020-09-17
1265063374 Kristy Mae Valencia Spec/Tech, Health Info 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2020-01-28
1720644461 Katrina Reale Rehabilitation Counselor 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2019-05-17
1841854700 Katelyn Prendergast Registered Nurse 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2019-04-26
1881166783 Marisa Bender Counselor 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-12-18
1821569872 Karen G Hernandez Psychologist 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-12-16
1467922856 Michael David Jackson Registered Nurse 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-11-28
1770063729 Jill M Crittenden Social Worker 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-08-20
1346727005 Charlene Dee Dutton Registered Nurse 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2018-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629628839 Carla Frances Halvorson Technician 955 Carol St Apt D, Woodburn, OR 97071 2019-09-19
1851801856 Angela Hill Massage Therapist 564 Ray J Glatt Cirle, Woodburn, OR 97071 2017-10-04
1154713295 Theresa Donavant-butler Massage Therapist 564 Glatt Circle, Woodburn, OR 97071 2015-02-26
1710257878 Darlene Jost-babin Counselor 693 Ray J Glatt Circle, Woodburn, OR 97071 2012-01-06
1932401437 Marcelino Mauro Vera Ramirez Chiropractor 844 Pana Street, Woodburn, OR 97071 2010-12-03
1801110994 Woodburn Cosmetic & Family Dentistry P.C. Dentist 1018 N. Boones Ferry Rd., Woodburn, OR 97071 2010-03-18
1568786911 Woodburn Dental Group, P.C. Dentist 1034 N. Boones Ferry Rd., Woodburn, OR 97071 2010-03-15
1134384985 Roberto Diaz Camarillo Counselor 399 Young Street, Woodburn, OR 97071 2008-07-22
1447431705 Patricia Eddy Physical Therapist 1475 Mt Hood Avenue, Woodburn, OR 97071 2007-11-15
1992926471 Marquis Physical Therapy & Spine Rehab, PC Physical Therapist 2241 Country Club Rd, Woodburn, OR 97071 2007-05-01
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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 state

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1578162145 Kenneth Branson Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-10-23
1962000554 Dawn Marks Peer Specialist 21440 Se Stark St, Gresham, OR 97030-2024 2020-10-15
1679188080 Michelle Marie Bunkers Peer Specialist 20517 Jacklight Ln, Bend, OR 97702-2971 2020-09-11
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1528677820 Charice Monette Peer Specialist 4151 Kacey Cir Ne, Salem, OR 97305-4504 2020-07-23
1841810322 Ariana Lee May Peer Specialist 1601 Olive St Apt 1008, Eugene, OR 97401-3985 2020-04-24
1982237236 Jessica M Montoya Peer Specialist 235 Se Knowledge St, Prineville, OR 97754-2362 2020-02-14
1134752579 Lisa Kennedy Peer Specialist 132 Ne B St # 24, Grants Pass, OR 97526-2114 2020-02-13
1730711953 Michael Anthony Duran Peer Specialist 1515 Hill St Se, Albany, OR 97322-6715 2020-02-05
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Competitor

Search similar providers

City WOODBURN
Zip Code 97071

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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