Individual provider · Type 1 NPI

Tricia Leaske, PWS, CRM

Peer Specialist · Gresham, OR

NPI number 1760386346 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Fax (503) 912-5740

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X26-CRM-5666 (OR)
Peer Specialist Primary 175T00000X117938 (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 1760386346

Tricia Leaske, PWS, CRM's National Provider Identifier is 1760386346, issued on Oct 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on Oct 6, 2026.