Derek Mires, CRM

NPI #1184218562 in Hillsboro, Oregon

Provider Information

NPI Number: 1184218562
Entity Type: Individual
Name: Derek Mires, CRM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CRM
Enumeration Date: Feb 25, 2021
Last Updated: Dec 20, 2021

Practice Location

Address: 720 SE WASHINGTON ST
City: Hillsboro
State: Oregon
ZIP Code: 97123-4230
Phone: (503) 648-0753

Specialties & Taxonomy Codes

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

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