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KIMBERLY MARIE MINOR CRM
NPI 1770086761
Peer Specialist in Portland, OR

Active since March 15, 2018
10564 SE WASHINGTON ST, PORTLAND, OR 97216(503) 228-9229 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Marie Minor Crm NPPES

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

KIMBERLY MARIE MINOR CRM (NPI 1770086761) is an individual peer specialist in Portland, Oregon, licensed in Oregon (18-CRM-027) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1770086761
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLY MARIE MINORCredential: CRM
Location Address10564 SE WASHINGTON STPortland, OR 97216-2809
Mailing Address3910 Se Stark StPortland, OR 97214-3241
Phone(503) 228-9229
Sole ProprietorNo
Enumeration DateMarch 15, 2018
✔ NPI 1770086761 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 · 18-CRM-027
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 Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RYAN OTTO MACHERAS CRM
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 502-9487
JACOB ERIN SCOTT CADC
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 867-3817
ASHLY ALYCE REED
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 235-8655
MS. MARY ANNETTE ERHART MSW, LISAC, CADC III
Counselor (Mental Health)
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 228-9229
RONDA VANZANT CADC I
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 228-9229
MORGAN VIRGINIA SIMON
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (971) 806-0587
DANIEL JAMES SPOTANSKI CRM
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (971) 334-2004
ANITA BECK
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Multnomah County (503) 228-9229

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 Kimberly Minor's NPI number?

The NPI number for Kimberly Minor is 1770086761. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Kimberly Minor located?

Kimberly Minor practices at 10564 SE Washington St, Portland, OR 97216. The listed phone number is (503) 228-9229.

What is Kimberly Minor'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 Kimberly Minor was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.