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MR. SAMUEL RAY KELLER PEER SUPPORT
NPI 1437955689
Peer Specialist in Roseburg, OR

Active since February 19, 2025
1939 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470(541) 957-5646 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Ray Keller Peer Support NPPES

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

MR. SAMUEL RAY KELLER PEER SUPPORT (NPI 1437955689) is an individual peer specialist in Roseburg, Oregon and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1437955689
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. SAMUEL RAY KELLERCredential: PEER SUPPORT
Location Address1939 NE DIAMOND LAKE BLVDRoseburg, OR 97470-3573
Mailing Address964 Se Terrace DrRoseburg, OR 97470-4330 · (909) 533-9377
Phone(541) 957-5646
Sole ProprietorNo
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1437955689 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.
1939 NE DIAMOND LAKE BLVD, Roseburg, OR 97470
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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.

CHRISTOPHER HUDGEON
Case Manager/Care Coordinator
1939 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 957-5646
DANIEL WOOD
Social Worker
1939 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 210-4080
KRISTIE M KNIGHT
Case Manager/Care Coordinator
1939 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 957-5646
DOUGLAS COUNTY CHILDRENS CENTER, INC
Clinic/Center
1939 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 957-5646

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 Samuel Keller's NPI number?

The NPI number for Samuel Keller is 1437955689. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Samuel Keller located?

Samuel Keller practices at 1939 NE Diamond Lake Blvd, Roseburg, OR 97470. The listed phone number is (541) 957-5646.

What is Samuel Keller'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 Samuel Keller was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.