Active NPI
Rachel Ann Dawson, PEER
- Peer Specialist
- Gresham, OR
National Provider Identifier
1720777196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 107176
- Practice address
- 4101 NE Division St Ste 100
Gresham, OR 97030-4617 - Phone
- (506) 666-3808
- NPI assigned
- May 2, 2023
- 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 | 107176 | OR | Primary |
Addresses
Primary practice location
4101 NE Division St Ste 100
Gresham, OR 97030-4617
Mailing address
39710 SE Paul Moore Rd
Sandy, OR 97055-6600
Phone (253) 213-9822
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 |
|---|---|---|---|
| 107176 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1720777196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39710 SE PAUL MOORE RD",
"city": "SANDY",
"state": "OR",
"postal_code": "970556600",
"telephone_number": "253-213-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NE DIVISION ST STE 100",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304617",
"telephone_number": "506-666-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "RACHEL",
"middle_name": "ANN",
"credential": "PEER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "107176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.