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

Mr. Timothy Gabriel Graham, PSS, CRM

Individual provider Peer Specialist · NPI 1457160368

Mr. Timothy Gabriel Graham, PSS, CRM is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
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Practice location Address checks out

17440 NE Flanders St
Portland, OR 97230-6632
Phone: (760) 529-2076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 101YM0800X (OR)

Record details

NPI number1457160368
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS , CRM
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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