IndividualActive
Chandler Cruise, PEER SUPPORT
NPI 1427558485 · Peer Specialist · Madras, OR
Provider details
- NPI number
- 1427558485
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PEER SUPPORT
- Sex
- Male
- Sole proprietor
- No
- License
- THW000002485 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
850 Sw 4th St
Madras, OR 97741-9628
Phone: (541) 475-6575
Fax: (541) 504-1195
Approximate (ZIP-level) locationGet directions
Mailing address
850 Sw 4th St
Madras, OR 97741-9628
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.