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KRISNAN SHIRLEY BECERRA GAMBOA
NPI 1104648096
Peer Specialist in Portland, OR

Active since October 30, 2024
6200 SE KING RD, PORTLAND, OR 97222(503) 546-6377 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krisnan Shirley Becerra Gamboa NPPES

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

KRISNAN SHIRLEY BECERRA GAMBOA (NPI 1104648096) is an individual peer specialist in Portland, Oregon and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1104648096
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRISNAN SHIRLEY BECERRA GAMBOA
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891
Phone(503) 546-6377
Sole ProprietorNo
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1104648096 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 Krisnan Becerra Gamboa's NPI number?

The NPI number for Krisnan Becerra Gamboa is 1104648096. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Krisnan Becerra Gamboa located?

Krisnan Becerra Gamboa practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 546-6377.

What is Krisnan Becerra Gamboa'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 Krisnan Becerra Gamboa was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.