BENJAMIN R SPENCE CRM
NPI 1063970937
Peer Specialist in Medford, OR

NPI Status: Active since March 08, 2019

Contact Information

1025 E MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (541) 779-1282
Fax: (541) 608-2888

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  • Individual
  • Male
  • Peer Specialist

About BENJAMIN SPENCE

This page provides the complete NPI Profile along with additional information for Benjamin Spence, a provider established in Medford, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1063970937 assigned on March 2019. The practitioner's primary taxonomy code is 175T00000X with license number 19-CRM-035 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1063970937
Provider Name
BENJAMIN R SPENCE CRM
Gender
Male
Entity Type
Individual
Location Address
1025 E MAIN ST MEDFORD, OR 97504
Location Phone
(541) 779-1282
Location Fax
(541) 608-2888
Mailing Address
1003 E MAIN ST STE 104 MEDFORD, OR 97504
Mailing Phone
(541) 326-4905
Is Sole Proprietor?
No
Enumeration Date
03-08-2019
Last Update Date
03-08-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
19-CRM-035
License State
OR
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063970937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123187096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 7 + 0 + 9 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1063970937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801197892 LAURIE MARIE DENNING CADC I
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1407359599 STEPHEN DALE SLEEZER CADC I
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1538662614 DUSTIN GARRETT FORTADO CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1265889018 HOLLY S HOLCOMB CADC I
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1851779524 PHAEDRA D HARRIS CADC I
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1578049474 ALEXANDRIA R DAVIS CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1013374610 SARAH KOLB CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1841651007 BRIAN A JACKSON CADC I
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1396104709 SAMANTHA R BLANKENSHIP CADC II
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1306301478 CARYN A MCLANE CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1467810689 BENNY CHOWN
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1043873946 CARRIE JO OLIVER CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1679054142 TIFFANY A ATKINSON CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1639712375 JENNIFER JURHEE ARNOLD CADC I
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1750923827 TINA LYN FAIN CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1689186546 JULIE A CONLEY-RUCKER
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1255923322 ALISA MILMAN BA
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1679153225 JUSTIN M SHARP CRM
Individual
Peer Specialist1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1225128093DR. DOUGLAS KENT DIEHL M.D.
Individual
Anesthesiology (Addiction Medicine)1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282
1447911243 KLAIRE CREANA CROSS CADC, CRM
Individual
Counselor (Addiction (Substance Use Disorder))1025 E MAIN ST
MEDFORD, OR 97504
(541) 779-1282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063970937, enumerated in the NPI registry as an "individual" on March 08, 2019

The provider is located at 1025 E Main St Medford, Or 97504 and the phone number is (541) 779-1282

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on March 08, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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