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

Samantha Gibson, CRM

Individual provider Peer Specialist · NPI 1215897756

Samantha Gibson, CRM is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

12612 SE Stark St Bldg M
Portland, OR 97233-1058
Phone: (503) 906-9995
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 25-CRM-5008 (OR)

Record details

NPI number1215897756
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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