Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558291328 Individual Practitioner Male Practitioner

Paul Gerard Krummenacker

Peer Specialist • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Paul Krummenacker is a registered healthcare professional specializing in Peer Specialist in Clackamas, OR. Practice services are available at 9123 SE SAINT HELENS ST STE 100F under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9123 Se Saint Helens St Ste 100f

Clackamas, OR 970156800

Telephone 5037401971
Fax 5037712436
Associated Practice Facility / Clinic
🏢 Chaise Group, Llc Facility NPI 1073720017

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Clackamas, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-19
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 26-CRM-5534

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

10117 Se Sunnyside Rd # F1217

Clackamas, OR 970157708

Phone: 5037401971

1217 Ne Burnside Rd Ste 701

Gresham, OR 970305770

Phone: 5037401971

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Karissa Mathews , CRM

Peer Specialist

NPI 1013874866
Bethanie Wilson , CRM

Peer Specialist

NPI 1104708015
Michelle Krummenacker , LCSW

Social Worker - Clinical

NPI 1124033618

Licensed Clinical Social Worker

Britt Ricci , LCSW

Social Worker - Clinical

NPI 1154561462

Licensed Clinical Social Worker

Pamela Cline , LCSW

Social Worker - Clinical

NPI 1336282979

Licensed Clinical Social Worker

NPI 1356776447

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 19, 2026

Registered at 9123 SE SAINT HELENS ST STE 100F, CLACKAMAS, OR 970156800 (Tel: 5037401971)

NPI Profile Active May 21, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2026

Registered at 10117 SE SUNNYSIDE RD # F1217, CLACKAMAS, OR 970157708 (Tel: 5037401971)

📍
Updated Business Mailing Address May 21, 2026

Registered at 10117 SE SUNNYSIDE RD # F1217, CLACKAMAS, OR 970157708 (Tel: 5037401971)

👤
Provider Name / Credentials Updated May 21, 2026

Recorded as PAUL KRUMMENACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Peer Specialist (License #26-CRM-5534 in OR)

🟢
Initial NPI Registration & Enumeration May 21, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558291328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2026
Last Update: June 19, 2026
Sole Proprietor: No

Mailing Address

10117 Se Sunnyside Rd # F1217

Clackamas, OR 970157708

Phone: 5037401971

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.