Jarod Christopher Alford
Individual provider Active NPI Peer Specialist · Gresham, OR
NPI 1730044587 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1730044587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 115083 (OR)
- Practice address
- 4101 NE Division St Ste 101
Gresham, OR 97030-4617 - Phone
- (503) 666-3808
- NPI assigned
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115083 | OR | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 115083 | OR | Yes |
Addresses
Primary practice location
4101 NE Division St Ste 101
Gresham, OR 97030-4617
Mailing address
4101 NE Division St Ste 101
Gresham, OR 97030-4617
Phone (503) 666-3808
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.