Individual provider · Type 1 NPI

Samantha Anne Stofiel, CRM, PSS

Peer Specialist · Portland, OR

NPI number 1780403105 Active

Practice location

10209 SE Division St Bldg C
Portland, OR 97266-1372

Fax (502) 228-9558

Mailing address

3650 NE Mallory Ave Apt 202
Portland, OR 97212-3085

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-CRM-3543 (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.

2 other providers at this address

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About NPI 1780403105

Samantha Anne Stofiel, CRM, PSS's National Provider Identifier is 1780403105, issued on Oct 3, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Oct 3, 2024.