Individual provider · Type 1 NPI

Kristian Lynette Cavanaugh

Peer Specialist · Salem, OR

NPI number 1659081248 Active

Practice location

2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157

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 1659081248

Kristian Lynette Cavanaugh's National Provider Identifier is 1659081248, issued on Dec 5, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salem, OR. The record was last updated on Jun 30, 2026.