KIMBERLY ANN LARSON
NPI 1265298772
Peer Specialist in Portland, OR

Active since February 22, 2024
5331 S MACADAM AVE STE 287, PORTLAND, OR 97239(503) 635-3416 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Ann Larson NPPES

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

KIMBERLY ANN LARSON (NPI 1265298772) is an individual peer specialist in Portland, Oregon and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1265298772
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLY ANN LARSON
Location Address5331 S MACADAM AVE STE 287Portland, OR 97239-3849
Mailing Address5331 S Macadam Ave Ste 287Portland, OR 97239-3849
Sole ProprietorNo
Enumeration DateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
NPI 1265298772 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.

5331 S MACADAM AVE STE 287, Portland, OR 97239

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265298772, enumerated as an "individual" on February 22, 2024.

The provider is located at 5331 S MACADAM AVE STE 287 PORTLAND, OR 97239 and the phone number is (503) 635-3416.

Peer Specialist with taxonomy code 175T00000X.