Active NPI
Jennifer D Salkoski, PSS
- Peer Specialist
- Portland, OR
National Provider Identifier
1679291082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- THW000105967
- Practice address
- 209 SW 4TH Ave Ste 520
Portland, OR 97204-1825 - Phone
- (971) 438-8447
- NPI assigned
- Aug 22, 2022
- 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 | THW000105967 | OR | Primary |
Addresses
Primary practice location
209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Mailing address
209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Phone (971) 438-8447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW000105967 | Other | OR | OREGON HEALTH AUTHORITY |
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 |
|---|---|---|---|
| THW000105967 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1679291082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SW 4TH AVE STE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041825",
"telephone_number": "971-438-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SW 4TH AVE STE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041825",
"telephone_number": "971-438-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALKOSKI",
"first_name": "JENNIFER",
"middle_name": "D",
"credential": "PSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "THW000105967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH AUTHORITY",
"identifier": "THW000105967",
"state": "OR"
}
],
"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 Oct 3, 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.