IndividualActive
Ivaniel Serrano
NPI 1215801683 · Peer Specialist · Madras, OR
Provider details
- NPI number
- 1215801683
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
850 Sw 4th St
Madras, OR 97741-9628
Phone: (541) 516-4099
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1710
Redmond, OR 97756-0516
Registry dates
- Enumerated
- 2025-09-30
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.