Donavan J Salsbury, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

3715820 Issued in OR

Practice address

21440 SE Stark St
Gresham, OR 97030-2024

Phone

(971) 703-4623

NPI assigned

Jun 20, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Donavan J Vait Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1164319208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 SE DIVISION ST STE 11104SE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666400",
            "telephone_number": "971-703-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21440 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302024",
            "telephone_number": "971-703-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALSBURY",
        "first_name": "DONAVAN",
        "middle_name": "J",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "3715820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONAVAN",
            "last_name": "VAIT",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meuy Saechao
• Safe Harbor Medical Incorporated
• Safeway Inc
• Safeway Inc
• Steven Salisbury, DMD
• Daniel Thomas Matthew Salter, F.N.P.
• Shannon Lee Salts, QMHA
• Rex Saludo
• Faith Samaan
• Alma San Juan, AGACNP

• Peer Specialist in Gresham, OR
• Providers in Gresham, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.