Jaimes De Legacy, PWS MH/A, CHW, CRM2, is a
Peer Specialist based in Milwaukie, Oregon. Jaimes De Legacy is licensed to practice in Oregon (license number ) and his current practice location is
10202 Se 32nd Ave Ste 701, Milwaukie, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 233-8651.
NPI number for Jaimes De Legacy is 1134828981 and his current mailing address is 10202 Se 32nd Ave Ste 701, Milwaukie, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134828981.
Healthcare Provider's Profile
| Full Name | Jaimes De Legacy |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 10202 Se 32nd Ave Ste 701, Milwaukie, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134828981
- Provider Enumeration Date: 03/01/2023
- Last Update Date: 02/18/2026
Medical Identifiers
Medical identifiers for Jaimes De Legacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134828981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaimes De Legacy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jaimes De Legacy, PWS MH/A, CHW, CRM2, 10202 Se 32nd Ave Ste 701, Milwaukie, OR 97222-3625 Ph: (503) 496-3201 | Jaimes De Legacy, PWS MH/A, CHW, CRM2, 10202 Se 32nd Ave Ste 701, Milwaukie, OR 97222-3625 Ph: (541) 233-8651 |
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