TIFFANIE KEARNEY
NPI 1497127195
Peer Specialist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since October 21, 2015

10564 SE WASHINGTON ST, PORTLAND, OR 97216(503) 228-9229(509) 229-9558 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tiffanie Kearney NPPES

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

TIFFANIE KEARNEY (NPI 1497127195) is an individual peer specialist in Portland, Oregon and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1497127195

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTIFFANIE KEARNEY

Location Address10564 SE WASHINGTON STPortland, OR 97216-2809

Mailing Address10564 Se Washington StPortland, OR 97216-2809 · (503) 228-9229 · Fax (509) 229-9558

Phone(503) 228-9229

Fax(509) 229-9558

Sole ProprietorNo

Enumeration DateOctober 21, 2015

✔ NPI 1497127195 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.

10564 SE WASHINGTON ST, Portland, OR 97216

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Other Identifiers 1

Medicaid175T00000XOR

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.

MS. MINDY KRISTINE SICKLER BA

Counselor (Addiction (Substance Use Disorder))