Dawn Marks
Peer Specialist in Gresham, OR. Individual provider (NPI-1).
NPI number1962000554
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1962000554
- Entity type
- Individual (NPI-1)
- Name
- Dawn Marks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | THW000003223 | – | Yes |
Practice location
21440 Se Stark StGresham, OR 97030-2024
Phone 503-465-2749
Mailing address
Po Box 16576Portland, OR 97292-0576
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 50 Peer Specialist providers in Gresham · All 2,430 providers in Gresham
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