IndividualActive
Kimberly Randall, CADC, CRM
NPI 1669991212 · Peer Specialist · Portland, OR
Provider details
- NPI number
- 1669991212
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CADC, CRM
- Sex
- Female
- Sole proprietor
- Yes
- License
- THW1868 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1030 Ne Couch St
Portland, OR 97232
Phone: (503) 239-8400
Fax: (503) 239-8406
Street-level locationGet directions
Mailing address
14600 Nw Cornell Rd
Portland, OR 97229-5442
Additional practice locations (1)
- 1027 E. Burnside St.Portland, OR 97214Phone: (503) 239-8400Fax: (503) 239-8407
Registry dates
- Enumerated
- 2017-09-14
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.