Kimberly Jaye Randall, CADC, CRM - Portland, OR

Kimberly Jaye Randall, CADC,CRM

Peer Specialist in Portland, Oregon

NPI 1669991212

Kimberly Jaye Randall is a Peer Specialist based in Portland, OR. Kimberly Jaye Randall practices in Portland, OR and has the professional credentials of CADC,CRM. The NPI Number for Kimberly Jaye Randall is 1669991212 and holds a License No. THW1868 (Oregon).

The current practice location address for Kimberly Jaye Randall is 1030 Ne Couch St, Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8406.

Location: 1030 Ne Couch St, Portland, OR, 97229-5442

NPI Number

1669991212

Provider Name

Kimberly Jaye Randall

Credential

CADC,CRM

Provider Entity Type

Individual

Gender

Female

Address

1030 Ne Couch St, Portland, OR, 97229-5442

Phone Number

503-239-8400

Fax Number

503-239-8406

Provider Enumeration Date

09/14/2017

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
THW1868	05	OR

Address

1030 Ne Couch St

City

Portland

State

Oregon

Zip

97232

Phone Number

503-239-8400

Fax Number

503-239-8406

Address

1030 Ne Couch St

City

Portland

State

Oregon

Zip

97232

Phone Number

503-239-8400

Fax Number

503-239-8406

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

THW1868 (Oregon)

Definition

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.

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.