Individual provider · Type 1 NPI

Samantha Jae Davis, CRM

Peer Specialist · Albany, OR

NPI number 1124941810 Active

Practice location

1355 Goldfish Farm Rd SE
Albany, OR 97322-5154

Call (541) 967-6580 Map

Mailing address

3660 Dian Ave NE
Albany, OR 97322-4324

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X26-CRM-5722 (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 1124941810

Samantha Jae Davis, CRM's National Provider Identifier is 1124941810, issued on Jul 31, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Albany, OR. The record was last updated on Jul 31, 2026.