Mary Waggoner, QMHA

Individual Active
NPI 1083979264
Peer Specialist Roseburg, OR

Mary Waggoner, QMHA holds NPI 1083979264, with a primary taxonomy of peer specialist and a practice location in Roseburg, OR. The number was issued on July 12, 2012 and the NPPES record was last updated on February 14, 2022. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X Not listed
Case Manager/Care Coordinator 171M00000X Not listed
Community Health Worker 172V00000X Not listed

Practice location

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 440-3532

Local context

Active NPPES records list 83 providers with peer specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 77 of them within 10 miles.

The same primary taxonomy is listed by 3,488 in Oregon and 33,802 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mary Rose Waggoner
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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