Individual provider Active NPI

Talina Kretzinger

  • Peer Specialist
  • Milwaukie, OR
National Provider Identifier
1306715586
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
11097 SE 21St Ave
Milwaukie, OR 97222-7640
Phone
(971) 757-5538
NPI assigned
Nov 4, 2025
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OR Primary

Addresses

Primary practice location

11097 SE 21St Ave
Milwaukie, OR 97222-7640

Mailing address

805 SE 151St Ave
Portland, OR 97233-2916
Phone (971) 271-7270

Other practice location 1

805 SE 151st Ave
Portland, OR 97233-2916
Phone (971) 271-7270

Other names 1

  • Sam Kretzinger Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1306715586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332916",
            "telephone_number": "971-271-7270",
            "fax_number": "971-302-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11097 SE 21ST AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227640",
            "telephone_number": "971-757-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 SE 151st Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972332916",
            "country_code": "US",
            "telephone_number": "971-271-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETZINGER",
        "first_name": "TALINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "KRETZINGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.