Individual provider · Type 1 NPI

Kimberly Forrest

Peer Specialist · Gresham, OR

NPI number 1699154682 Active

Practice location

4101 NE Division St
Gresham, OR 97030-4617

Mailing address

19402 SE Stark St, # 5
Portland, OR 97233-5760

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
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 1699154682

Kimberly Forrest's National Provider Identifier is 1699154682, issued on May 22, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on May 22, 2015.