Active NPI
Merlin Kirby
- Peer Specialist
- Portland, OR
National Provider Identifier
1952271306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 108566
- Practice address
- 14725 SE Rhone St
Portland, OR 97236-2556 - Phone
- (503) 573-8290
- NPI assigned
- Nov 10, 2025
- Sex
- Male
- 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 | 108566 | OR | Primary |
Addresses
Primary practice location
14725 SE Rhone St
Portland, OR 97236-2556
Mailing address
14725 SE Rhone St
Portland, OR 97236-2556
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 |
|---|---|---|---|
| 108566 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1952271306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14725 SE RHONE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14725 SE RHONE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362556",
"telephone_number": "503-573-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "MERLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "108566",
"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 Nov 10, 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.