Individual provider · Type 1 NPI

Clifford Ray Dusky, CRM II, PWS, THW

Peer Specialist · Gresham, OR

NPI number 1699615484 Active

Practice location

355 NW Division St
Gresham, OR 97030-5523

Call (971) 217-9008 Map

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X108990 (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 1699615484

Clifford Ray Dusky, CRM II, PWS, THW's National Provider Identifier is 1699615484, issued on Mar 31, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on Mar 31, 2026.