Individual provider · Type 1 NPI

Michelle Jennifer Sumida, PWS

Peer Specialist · Portland, OR

NPI number 1881548683 Active

Practice location

3636 NE Broadway St
Portland, OR 97232-1823

Fax (503) 307-7775

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X116295 (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.

13 other providers at this address

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About NPI 1881548683

Michelle Jennifer Sumida, PWS's National Provider Identifier is 1881548683, issued on Feb 26, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2026.