IndividualActive
Edward Sirchuk
NPI 1851107635 · Peer Specialist · Harbor, OR
Provider details
- NPI number
- 1851107635
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- PACE Provider Organization251T00000X
Agencies
Practice location
15957 Highway 101 S Ste 11
Harbor, OR 97415-8507
Phone: (541) 813-9142
Approximate (ZIP-level) locationGet directions
Mailing address
General Delivery
Harbor, OR 97415-9999
Registry dates
- Enumerated
- 2024-12-06
- Last updated
- 2024-12-07
- Certified
- 2024-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.