CAROL LIPSON CRISWELL
NPI 1053829663
Peer Specialist in Portland, OR

Q: What is the provider's specialty?

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

Active since January 17, 2018

830 NE 47TH AVE, PORTLAND, OR 97213(503) 215-2429 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Carol Lipson Criswell NPPES

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

CAROL LIPSON CRISWELL (NPI 1053829663) is an individual peer specialist in Portland, Oregon and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1053829663

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameCAROL LIPSON CRISWELL

Location Address830 NE 47TH AVEPortland, OR 97213-2212

Mailing Address203 Se 45th AvePortland, OR 97215-1013 · (971) 219-5799

Phone(503) 215-2429

Sole ProprietorYes

Enumeration DateJanuary 17, 2018

✔ NPI 1053829663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

830 NE 47TH AVE, Portland, OR 97213

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Other Names 1

Former Name (1)Carol Mary Lipson

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.

DR. MONISHA GAGNEJA B.D.S

Dentist (Pediatric Dentistry)

830 NE 47TH AVE, PROVIDENCE CHILD CENTRE -SPECIALITY DENT
PORTLAND, OR 97213

Multnomah County (503) 215-1060

PROVIDENCE HEALTH & SERVICES-OREGON

Clinic/Center (Dental)

830 NE 47TH AVE, ATTN: DENTAL CLINIC
PORTLAND, OR 97213

Multnomah County (503) 215-2400

MRS. LYDIA M MERRIGAN RD, LD

Dietitian, Registered