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

Kimberly Jaye Randall, CADC, CRM

Individual provider Peer Specialist · NPI 1669991212

Kimberly Jaye Randall, CADC, CRM is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1030 NE Couch St
Portland, OR 97232
Phone: (503) 239-8400
Fax: (503) 239-8406
Show map & directions

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

Additional practice locations (1)

  • 1027 E. Burnside St., Portland, OR 97214 — (503) 239-8400

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW1868 (OR)

Record details

NPI number1669991212
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC , CRM
Sole proprietorYes
NPI enumeratedSeptember 14, 2017
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

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