Active NPI
Karissa Rose Mathews, CRM
- Peer Specialist
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 25-CRM-4938
- Practice address
- 1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770 - Phone
- (503) 740-1971
- Fax
- (503) 771-2436
- NPI assigned
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 25-CRM-4938 | OR | Primary |
Addresses
Primary practice location
1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Mailing address
10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708
Phone (503) 740-1971
Other practice location 1
3939 NE Hancock St Ste 301
Portland, OR 97212-5321
Phone (503) 740-1971
Other practice location 2
9123 SE Saint Helens St Ste 100F
Clackamas, OR 97015-6800
Phone (503) 740-1971
Other practice location 3
470 2nd St Ste D
Lake Oswego, OR 97034-3199
Phone (503) 740-1971
Other practice location 4
14355 N Bybee Lake Ct
Portland, OR 97203-6495
Phone (503) 740-1971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-CRM-4938 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaise Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Clackamas, OR
- NPI 1073720017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1013874866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10117 SE SUNNYSIDE RD # F1217",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970157708",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD STE 701",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305770",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436"
}
],
"practiceLocations": [
{
"address_1": "3939 NE Hancock St Ste 301",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972125321",
"country_code": "US",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9123 SE Saint Helens St Ste 100F",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970156800",
"country_code": "US",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 2nd St Ste D",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970343199",
"country_code": "US",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14355 N Bybee Lake Ct",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972036495",
"country_code": "US",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEWS",
"first_name": "KARISSA",
"middle_name": "ROSE",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "25-CRM-4938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.