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MS. KATHLEEN SUSANNE GAMBLE THW, PSS
NPI 1174196034
Peer Specialist in Mill City, OR

Active since July 20, 2021
280 NE SANTIAM BLVD, MILL CITY, OR 97360(971) 332-5676 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen Susanne Gamble Thw, Pss NPPES

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

MS. KATHLEEN SUSANNE GAMBLE THW, PSS (NPI 1174196034) is an individual peer specialist in Mill City, Oregon, licensed in Oregon (105011) and active in the NPI registry since July 2021. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1174196034
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. KATHLEEN SUSANNE GAMBLECredential: THW, PSS
Location Address280 NE SANTIAM BLVDMill City, OR 97360
Mailing AddressPo Box 875Mill City, OR 97360-0875 · (971) 388-8841
Phone(971) 332-5676
Sole ProprietorNo
Enumeration DateJuly 20, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1174196034 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 · 105011
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.
280 NE SANTIAM BLVD, Mill City, OR 97360
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Secondary Practice Location 1

Location 12555 Silverton Rd NE Ste CSalem, OR 97301-0837 · Phone (503) 393-4273

Other Identifiers 1

Other105011OR · Oregon Health Association

Other Providers at the Same Location NPPES 2

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

JUSTIN BRUNSON PSS
Peer Specialist
280 NE SANTIAM BLVD
MILL CITY, OR 97360
Linn County (971) 332-5676
JERRY KORKOW PSS
Peer Specialist
280 NE SANTIAM BLVD
MILL CITY, OR 97360
Linn County (971) 332-5676

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 Kathleen Gamble's NPI number?

The NPI number for Kathleen Gamble is 1174196034. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Kathleen Gamble located?

Kathleen Gamble practices at 280 NE Santiam Blvd, Mill City, OR 97360. The listed phone number is (971) 332-5676.

What is Kathleen Gamble'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 Kathleen Gamble was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.