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CHARLES ANNICH PSS/CRM
NPI 1194608901
Peer Specialist in Portland, OR

Active since July 29, 2025
1310 SW 17TH AVE, PORTLAND, OR 97201(503) 231-2641(503) 467-4077 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Annich Pss/crm NPPES

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

CHARLES ANNICH PSS/CRM (NPI 1194608901) is an individual peer specialist in Portland, Oregon, licensed in Oregon (113891) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1194608901
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCHARLES ANNICHCredential: PSS/CRM
Location Address1310 SW 17TH AVEPortland, OR 97201-2522
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Phone(503) 231-2641
Fax(503) 467-4077
Sole ProprietorNo
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1194608901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 113891
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 24-CRM-3669 (OR)
1310 SW 17TH AVE, Portland, OR 97201
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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.

DONNA M TURQUOISE QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
KAY M COCKERILL QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JOHN S ALAM QMHA-I
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MRS. BRANDY MICHELLE REMPEL CRM
Counselor (Addiction (Substance Use Disorder))
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
AMY A THOMPSON QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MARK JS TRUJILLO CADCR CRM PSS QMHA-I
Peer Specialist
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
TONYA M JONES CRM/PSS/QMHP-C
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641
ASHLEY A COIA QMHP-R
Counselor (Mental Health)
1310 SW 17TH AVE
PORTLAND, OR 97201
Multnomah County (503) 231-2641

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 Charles Annich's NPI number?

The NPI number for Charles Annich is 1194608901. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Charles Annich located?

Charles Annich practices at 1310 SW 17th Ave, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Charles Annich'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 Charles Annich was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.