Individual provider · Type 1 NPI

Kimberly Samantha Gonzalez

Peer Specialist · Portland, OR

NPI number 1033920004 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 358-1177 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X112866 (OR)

Peer Specialist: 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.

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About NPI 1033920004

Kimberly Samantha Gonzalez's National Provider Identifier is 1033920004, issued on Jan 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 17, 2025.