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MR. TIMOTHY GABRIEL GRAHAM PSS, CRM
NPI 1457160368
Peer Specialist in Portland, OR

Active since January 06, 2025
17440 NE FLANDERS ST, PORTLAND, OR 97230(760) 529-2076 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Gabriel Graham Pss, Crm NPPES

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

MR. TIMOTHY GABRIEL GRAHAM PSS, CRM (NPI 1457160368) is an individual peer specialist in Portland, Oregon, licensed in Oregon (101YM0800X) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1457160368
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. TIMOTHY GABRIEL GRAHAMCredential: PSS, CRM
Location Address17440 NE FLANDERS STPortland, OR 97230-6632
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (760) 726-3690
Phone(760) 529-2076
Sole ProprietorYes
Enumeration DateJanuary 6, 2025
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1457160368 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 · 101YM0800X
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.
17440 NE FLANDERS ST, Portland, OR 97230
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Other Identifiers 1

Other24-CRM-4000OR · Pss Certification (mhacbo)

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 Timothy Graham's NPI number?

The NPI number for Timothy Graham is 1457160368. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Timothy Graham located?

Timothy Graham practices at 17440 NE Flanders St, Portland, OR 97230. The listed phone number is (760) 529-2076.

What is Timothy Graham'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 Timothy Graham was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.