Individual provider · Type 1 NPI

Timothy Gabriel Graham, PSS, CRM

Peer Specialist · Portland, OR

NPI number 1457160368 Active

Practice location

17440 NE Flanders St
Portland, OR 97230-6632

Mailing address

8915 SW Center St
Tigard, OR 97223-6307

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X101YM0800X (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 1457160368

Timothy Gabriel Graham, PSS, CRM's National Provider Identifier is 1457160368, issued on Jan 6, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 21, 2025.