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SAMANTHA GIBSON CRM
NPI 1215897756
Peer Specialist in Portland, OR

Active since November 17, 2025
12612 SE STARK ST BLDG M, PORTLAND, OR 97233(503) 906-9995 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Gibson Crm NPPES

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

SAMANTHA GIBSON CRM (NPI 1215897756) is an individual peer specialist in Portland, Oregon, licensed in Oregon (25-CRM-5008) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1215897756
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSAMANTHA GIBSONCredential: CRM
Location Address12612 SE STARK ST BLDG MPortland, OR 97233-1058
Mailing Address12612 Se Stark St Bldg MPortland, OR 97233-1058 · (503) 906-9995
Phone(503) 906-9995
Sole ProprietorNo
Enumeration DateNovember 17, 2025
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1215897756 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 · 25-CRM-5008
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.
12612 SE STARK ST BLDG M, Portland, OR 97233
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Other Providers at the Same Location NPPES 4

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

ROCHELLE LOVE
Peer Specialist
12612 SE STARK ST BLDG M
PORTLAND, OR 97233
Multnomah County (503) 906-9995
JERRI L KERR CRM
Peer Specialist
12612 SE STARK ST BLDG M
PORTLAND, OR 97233
Multnomah County (503) 906-9995
BRYAN LATTANZI CRM
Peer Specialist
12612 SE STARK ST BLDG M
PORTLAND, OR 97233
Multnomah County (503) 906-9995
TRAVIS ZELLER CRM/PSS
Peer Specialist
12612 SE STARK ST BLDG M
PORTLAND, OR 97233
Multnomah County (503) 906-9995

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 Samantha Gibson's NPI number?

The NPI number for Samantha Gibson is 1215897756. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Samantha Gibson located?

Samantha Gibson practices at 12612 SE Stark St Bldg M, Portland, OR 97233. The listed phone number is (503) 906-9995.

What is Samantha Gibson'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 Samantha Gibson was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.