IndividualActive
Jaycanna Day, PPS
NPI 1780049098 · Peer Specialist · Gresham, OR
Provider details
- NPI number
- 1780049098
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PPS
- Sex
- Female
- Sole proprietor
- No
- License
- 109938 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
649 Ne Hood Ave
Gresham, OR 97030-7328
Phone: (971) 997-0415
Fax: (503) 588-4788
Approximate (ZIP-level) locationGet directions
Mailing address
15541 Se Stephens Ct
Portland, OR 97233-3361
Registry dates
- Enumerated
- 2015-12-31
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.