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KIM MARIE LONG PSS, THW
NPI 1275108292
Peer Specialist in Salem, OR

Active since May 21, 2021
2995 RYAN DR SE STE 200, SALEM, OR 97301(503) 371-7701(503) 485-3224 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Marie Long Pss, Thw NPPES

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

KIM MARIE LONG PSS, THW (NPI 1275108292) is an individual peer specialist in Salem, Oregon, licensed in Oregon (THW000004318) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1275108292
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIM MARIE LONGCredential: PSS, THW
Location Address2995 RYAN DR SE STE 200Salem, OR 97301-5157
Mailing Address2995 Ryan Dr Se Ste 200Salem, OR 97301-5157 · (503) 371-7701 · Fax (503) 485-3224
Phone(503) 371-7701
Fax(503) 485-3224
Sole ProprietorNo
Enumeration DateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1275108292 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 · THW000004318
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.
2995 RYAN DR SE STE 200, Salem, OR 97301
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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.

ANDRE LANE
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
TAMMRA CHATWIN
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
MS. DINA ENRIQUEZ THW
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (971) 718-0305
JENNIFER A HEARN PSS
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 587-5151
KRYSTAL CHANTEL BUSHNELL PSS
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 967-1176
TERRA J HIBDON PPS
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
MRS. MINDI BURDICK FNP-C
Nurse Practitioner (Family)
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
NICHOLE CHRISTINE WINK PSS, THW, CRM
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701

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 Kim Long's NPI number?

The NPI number for Kim Long is 1275108292. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Kim Long located?

Kim Long practices at 2995 Ryan Dr SE Ste 200, Salem, OR 97301. The listed phone number is (503) 371-7701.

What is Kim Long'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 Kim Long was last updated on May 21, 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.