Individual provider Active NPI

Diangelo Alexei Scamarone, PSS, CRM

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1598623969
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
113522 Issued in OR
Practice address
9230 SW 69TH Ave
Portland, OR 97223-9279
Phone
(503) 730-6387
NPI assigned
Jan 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 113522 OR Primary

Addresses

Primary practice location

9230 SW 69TH Ave
Portland, OR 97223-9279

Mailing address

9230 SW 69TH Ave
Portland, OR 97223-9279
Phone (503) 730-6387

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

LicenseStateTypeSpecialty
113522ORMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1598623969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 SW 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239279",
            "telephone_number": "503-730-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 SW 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239279",
            "telephone_number": "503-730-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMARONE",
        "first_name": "DIANGELO",
        "middle_name": "ALEXEI",
        "credential": "PSS, CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "113522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.