Paul Gerard Krummenacker

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

26-CRM-5534 Issued in OR

Practice address

9123 SE Saint Helens St Ste 100F
Clackamas, OR 97015-6800

Phone

(503) 740-1971

Fax

(503) 771-2436

NPI assigned

May 21, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chaise Group, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clackamas, OR
  • NPI 1063962579
  NPD
• Chaise Group, LLC

  • Multi-Specialty Clinic/Center
  • Clackamas, OR
  • NPI 1073720017
  NPD

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1558291328",
    "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": "9123 SE SAINT HELENS ST STE 100F",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156800",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 NE Burnside Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305770",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10117 SE Sunnyside Rd # F1217",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970157708",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMMENACKER",
        "first_name": "PAUL",
        "middle_name": "GERARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "26-CRM-5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Marie Krein
• Angela Nicole Kreps, MS-NURSE ANESTHESIA
• Randy D. Kreps, M.D.
• Peter Krull, DPT
• Michelle L Krummenacker, LCSW
• John L Krump, DDS
• Kristin Kruskamp, PHARMD
• Mary N Kudoja, FNP-BC
• Ritu Kumar, MD
• Alphonsus Wing Kung, M.D.

• Peer Specialist in Clackamas, OR
• Providers in Clackamas, 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 19, 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.