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MR. MIDIAN KRASH TENEBRAE-HICKEY
NPI 1093406969
Peer Specialist in Portland, OR

Active since May 19, 2023
6200 SE KING RD, PORTLAND, OR 97222(503) 546-6377 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Midian Krash Tenebrae-hickey NPPES

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

MR. MIDIAN KRASH TENEBRAE-HICKEY (NPI 1093406969) is an individual peer specialist in Portland, Oregon and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1093406969
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. MIDIAN KRASH TENEBRAE-HICKEY
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891 · (503) 546-6377
Phone(503) 546-6377
Sole ProprietorYes
Enumeration DateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1093406969 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.
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
KIMBERLY SAMANTHA GONZALEZ
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Clackamas County (503) 358-1177
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

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 Midian Tenebrae-hickey's NPI number?

The NPI number for Midian Tenebrae-hickey is 1093406969. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Midian Tenebrae-hickey located?

Midian Tenebrae-hickey practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 546-6377.

What is Midian Tenebrae-hickey'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 Midian Tenebrae-hickey was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.