Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JAYE RANDALL, CADC, CRM
Active Sole ProprietorKIMBERLY JAYE RANDALL, CADC, CRM is a Peer Specialist healthcare provider located in PORTLAND, Oregon. NPI 1669991212 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · PORTLAND, OR
Registration Details
- NPI Number
- 1669991212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2017 (8.9332898359333 yrs)
- Last Updated
- Aug 31, 2023
- License
-
THW1868 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1030 NE COUCH STPORTLAND, OR, 97232Browse OR providers · Browse ZIP 97232
- Phone
- 5032398400
- Fax
- 5032398406
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| GARY D WARNOCK | CADC I | 1740484286 |
| KERI MCNICHOLAS | — | 1235322686 |
| MRS. DEBRA LYNN RUSSELL | — | 1760658462 |
| JIM V WHIPPLE | — | 1598095713 |
| SHERYL COOKSLEY | — | 1407145626 |
| KRATER H BUELL | PSS | 1538426978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.