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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 101YM0800X (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.