Individual provider Active NPI

David Dario Garcia

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1801596978
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
3580 SE 82ND Ave
Portland, OR 97266-2902
Phone
(971) 339-9240
Fax
(503) 983-9899
NPI assigned
Mar 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 Primary

Addresses

Primary practice location

3580 SE 82ND Ave
Portland, OR 97266-2902

Mailing address

58147 Columbia River Hwy Ste C
Saint Helens, OR 97051-6229
Phone (503) 396-5322

Other practice location 1

58147 Columbia River Hwy Ste C
Saint Helens, OR 97051-6229
Phone (503) 396-5322

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

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Grand Ronde Community of Oregon CurrentSince Sep 26, 2025 Accepting new patients
Medicine Wheel Recovery Services, Inc. PastSince Mar 1, 2023 Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon PastSince Dec 10, 2023 Accepting new patients

Locations

3580 SE 82nd Ave
Portland, OR 97266
Phone (503) 777-0761

Interoperability endpoints

  • Direct secure messaging: david.garcia.p1@direct.grandronde.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1801596978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58147 COLUMBIA RIVER HWY STE C",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516229",
            "telephone_number": "503-396-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662902",
            "telephone_number": "971-339-9240",
            "fax_number": "503-983-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58147 Columbia River Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Saint Helens",
            "state": "OR",
            "postal_code": "970516229",
            "country_code": "US",
            "telephone_number": "503-396-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DAVID",
        "middle_name": "DARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "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 Dec 5, 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.

Verify at the official NPI Registry.