Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Marie Long, PSS, THW

Individual provider Peer Specialist · NPI 1275108292

Kim Marie Long, PSS, THW is a Peer Specialist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157
Phone: (503) 371-7701
Fax: (503) 485-3224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW000004318 (OR)

Record details

NPI number1275108292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSS , THW
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021

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