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

Kisca Kay Merryman, QMHA-R

Individual provider Peer Specialist · NPI 1497330187

Kisca Kay Merryman, QMHA-R is a Peer Specialist in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2045 Silverton Rd NE Ste B
Salem, OR 97301-0100
Phone: (503) 588-5351
Fax: (503) 361-2666
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence NO.23-QMHA-R-3693 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 104611 (OR)

Record details

NPI number1497330187
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA-R
Sole proprietorYes
NPI enumeratedMarch 14, 2021
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

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