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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RANDOLPH LUCERO CRM, PSS-AD
NPI 1629984133
Peer Specialist in Gresham, OR

Active since August 24, 2026
355 NW DIVISION ST, GRESHAM, OR 97030(503) 545-9754 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Randolph Lucero Crm, Pss-ad NPPES

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

RANDOLPH LUCERO CRM, PSS-AD (NPI 1629984133) is an individual peer specialist in Gresham, Oregon, licensed in Oregon (25-CRM-5021) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1629984133
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRANDOLPH LUCEROCredential: CRM, PSS-AD
Location Address355 NW DIVISION STGresham, OR 97030-5523
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (971) 217-9008 · Fax (971) 260-0355
Phone(503) 545-9754
Sole ProprietorNo
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 23, 2026
✔ NPI 1629984133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in OR · 25-CRM-5021✔ Licensed in OR · 115678
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.
355 NW DIVISION ST, Gresham, OR 97030
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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.

DEANNA RAE SHIELDS CADC-R/CRM/PSS
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
MS. TARA JOELLE WALKER QMHP, MS
Counselor (Mental Health)
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
MELISSA A JONES CRM/PSS/QMHA-R
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
PRESTON FABRE PWS, CRM II
Peer Specialist
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
KAYLEN ANNMARIE SCOTT PWS,CRM
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
MR. DAVID MADISON HUMPHRIES CADC I/CRM II
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
MRS. SHANNON LORRAINE LEWIS CRM
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 255-6695
JAMES POSEY CRM
Counselor (Mental Health)
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695

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 Randolph Lucero's NPI number?

The NPI number for Randolph Lucero is 1629984133. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Randolph Lucero located?

Randolph Lucero practices at 355 NW Division St, Gresham, OR 97030. The listed phone number is (503) 545-9754.

What is Randolph Lucero'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 Randolph Lucero was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.