PAUL GERARD KRUMMENACKER
NPI 1558291328
Peer Specialist in Clackamas, OR

Q: What is the provider's specialty?

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

Active since May 21, 2026

9123 SE SAINT HELENS ST STE 100F, CLACKAMAS, OR 97015(503) 740-1971(503) 771-2436 Get Directions Write a Review

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

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Peer Specialist

About PAUL KRUMMENACKER

This page provides the complete NPI Profile along with additional information for Paul Krummenacker, a provider established in Clackamas, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1558291328 assigned on May 2026. The practitioner's primary taxonomy code is 175T00000X with license number 26-CRM-5534 (OR). The provider is registered as an individual and his NPI record was last updated June 2026.

NPI: 1558291328 Verify this NPI
Provider Name: PAUL GERARD KRUMMENACKER
Gender: Male
Entity Type: Individual
Location Address: 9123 SE SAINT HELENS ST STE 100F CLACKAMAS, OR 97015
Location Phone: (503) 740-1971
Location Fax: (503) 771-2436
Mailing Address: 10117 SE SUNNYSIDE RD # F1217 CLACKAMAS, OR 97015
Mailing Phone: (503) 740-1971
Mailing Fax: (503) 771-2436
Is Sole Proprietor?: No
Enumeration Date: 05-21-2026
Last Update Date: 06-19-2026
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Location Map

Secondary Locations

1217 NE Burnside Rd Ste 701
Gresham, OR 97030
(503) 740-1971
10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015
(503) 740-1971

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Peer Specialist
Taxonomy Code: 175T00000X
Type: Other Service Providers
License No.: 26-CRM-5534
License State: OR
Taxonomy Description: 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.