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KIMBERLY SAMANTHA GONZALEZ
NPI 1033920004
Peer Specialist in Portland, OR

Active since January 17, 2025
6200 SE KING RD, PORTLAND, OR 97222(503) 358-1177 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Samantha Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SAMANTHA GONZALEZ (NPI 1033920004) is an individual peer specialist in Portland, Oregon, licensed in Oregon (112866) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1033920004
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLY SAMANTHA GONZALEZ
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891
Phone(503) 358-1177
Sole ProprietorNo
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1033920004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 112866
Definition
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.
6200 SE KING RD, Portland, OR 97222
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANA MARIA MILBURN LCSW
Social Worker (Clinical)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
EMILY STREETER
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
KANOUGHN LONGWELL
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 757-5290
JOSEPH ALLEN LEICK
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
MIA MITCHELL YPSS
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
HELEN HERNANDEZ
Counselor (Mental Health)
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 473-1732
CODY BLACKWELL
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-6377
KENNEDY CHEYENNE BENITEZ
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 546-7387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Gonzalez's NPI number?

The NPI number for Kimberly Gonzalez is 1033920004. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Kimberly Gonzalez located?

Kimberly Gonzalez practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 358-1177.

What is Kimberly Gonzalez's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Gonzalez was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.