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SAMUEL ROBERT ANDERSON
NPI 1164139689
Peer Specialist in Aloha, OR

Active since November 03, 2022
4585 SW 185TH AVE, ALOHA, OR 97078(503) 591-9280(503) 848-2072 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Samuel Robert Anderson NPPES

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

SAMUEL ROBERT ANDERSON (NPI 1164139689) is an individual peer specialist in Aloha, Oregon and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1164139689
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSAMUEL ROBERT ANDERSON
Location Address4585 SW 185TH AVEAloha, OR 97078-1557
Mailing Address4585 Sw 185th AveAloha, OR 97078-1557 · (503) 591-9280 · Fax (503) 848-2072
Phone(503) 591-9280
Fax(503) 848-2072
Sole ProprietorNo
Enumeration DateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1164139689 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.
4585 SW 185TH AVE, Aloha, OR 97078
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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.

MIKAYLA RAE FLYNN
Case Manager/Care Coordinator
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 591-9280
NICOLE RENEE ALLEN
Counselor (Mental Health)
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 591-9280
LUIS GARBALLOS
Counselor (Addiction (Substance Use Disorder))
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (214) 643-6820
GOOSE LOCKEWOOD MCCABE
Counselor (Mental Health)
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 591-9280
KAYLA OLSON
Social Worker (Clinical)
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 619-1935
MINDI JO ABEYTA CRM,CADC-R
Peer Specialist
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 591-9280
MOLLY MILLER
Counselor (Mental Health)
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 504-7129
RAHGENE SHEYDON HOARD-JACKSON
Case Manager/Care Coordinator
4585 SW 185TH AVE
ALOHA, OR 97078
Washington County (503) 591-9280

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 Samuel Anderson's NPI number?

The NPI number for Samuel Anderson is 1164139689. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Where is Samuel Anderson located?

Samuel Anderson practices at 4585 SW 185th Ave, Aloha, OR 97078. The listed phone number is (503) 591-9280.

What is Samuel Anderson'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 Samuel Anderson was last updated on November 3, 2022. 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.