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DEVON BLACK CRM
NPI 1629842661
Peer Specialist in Portland, OR

Active since November 09, 2023
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216(503) 535-1150 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Devon Black Crm NPPES

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

DEVON BLACK CRM (NPI 1629842661) is an individual peer specialist in Portland, Oregon, licensed in Oregon (23-CRM-2172) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1629842661
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDEVON BLACKCredential: CRM
Location Address10230 SE CHERRY BLOSSOM DRPortland, OR 97216-2821
Mailing Address10230 Se Cherry Blossom DrPortland, OR 97216-2821 · (503) 535-1150
Phone(503) 535-1150
Sole ProprietorNo
Enumeration DateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1629842661 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 · 23-CRM-2172
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.
10230 SE CHERRY BLOSSOM DR, Portland, OR 97216
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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.

FORA HEALTH INC.
Substance Abuse Rehabilitation Facility
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
JENNA MARI SCOTT
Counselor (Professional)
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1151
KAYLA MITCHUM
Registered Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
FORA HEALTH INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
DANIELLE DEAL
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
ISABELLA EILEEN GILLESPIE CRM
Peer Specialist
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1151
NINFA HALAY-AY LPN
Licensed Practical Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1175
JAKE MOXLEY CADC I
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150

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 Devon Black's NPI number?

The NPI number for Devon Black is 1629842661. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Devon Black located?

Devon Black practices at 10230 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 535-1150.

What is Devon Black'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 Devon Black was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.