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STEPHANIE GIBSON PSS
NPI 1861171308
Peer Specialist in Dallas, OR

Active since July 12, 2023
945 SE UGLOW AVE, DALLAS, OR 97338(503) 837-1762 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Gibson Pss NPPES

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

STEPHANIE GIBSON PSS (NPI 1861171308) is an individual peer specialist in Dallas, Oregon, licensed in Oregon (THW000109289) and active in the NPI registry since July 2023. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1861171308
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTEPHANIE GIBSONCredential: PSS
Location Address945 SE UGLOW AVEDallas, OR 97338-2642
Mailing Address1401 W Ellendale Ave Unit 81Dallas, OR 97338-1367
Phone(503) 837-1762
Sole ProprietorYes
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1861171308 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 · THW000109289
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.
945 SE UGLOW AVE, Dallas, OR 97338
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Secondary Practice Location 1

Location 12555 Silverton Rd NESalem, OR 97301-0837 · Phone (503) 409-1506

Other Providers at the Same Location NPPES 3

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

DANIELLE J SMALLWOOD PSS
Peer Specialist
945 SE UGLOW AVE
DALLAS, OR 97338
Polk County (503) 837-1762
SHELBY WHITE PSS
Peer Specialist
945 SE UGLOW AVE
DALLAS, OR 97338
Polk County (503) 837-1762
MIKE WALLACE
Peer Specialist
945 SE UGLOW AVE
DALLAS, OR 97338
Polk County (503) 837-1762

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 Stephanie Gibson's NPI number?

The NPI number for Stephanie Gibson is 1861171308. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Stephanie Gibson located?

Stephanie Gibson practices at 945 SE Uglow Ave, Dallas, OR 97338. The listed phone number is (503) 837-1762.

What is Stephanie Gibson'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 Stephanie Gibson was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.