Individual provider · Type 1 NPI

Shelby Scott Thompson, CRM

Peer Specialist · Gresham, OR

NPI number 1104725860 Active

Practice location

2072 NE Burnside Rd
Gresham, OR 97030-7950

Call (971) 436-2560 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X6839023 (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 1104725860

Shelby Scott Thompson, CRM's National Provider Identifier is 1104725860, issued on Nov 2, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on Nov 2, 2026.