Iyanna Jenelle Jimenez, CRM/PSS/PWS

NPI #1174245146 in Beaverton, Oregon

Provider Information

NPI Number: 1174245146
Entity Type: Individual
Name: Iyanna Jenelle Jimenez, CRM/PSS/PWS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRM/PSS/PWS
Enumeration Date: Sep 15, 2022
Last Updated: Feb 23, 2024

Practice Location

Address: 3800 SW CEDAR HILLS BLVD STE 288
City: Beaverton
State: Oregon
ZIP Code: 97005-2035
Phone: (503) 924-2448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X	Primary

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