Individual provider · Type 1 NPI

Kelly Rae Caillavet, PWS

Peer Specialist · Portland, OR

NPI number 1336047844 Active

Practice location

11261 NE Knott St
Portland, OR 97220-1704

Call (503) 238-0769 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1336047844

Kelly Rae Caillavet, PWS's National Provider Identifier is 1336047844, issued on Oct 27, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Oct 27, 2026.