Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164319208 Individual Practitioner Male Practitioner

Donavan J Salsbury , CRM

Peer Specialist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Donavan Salsbury, CRM is a registered healthcare professional specializing in Peer Specialist in Gresham, OR. Practice services are available at 21440 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21440 Se Stark St

Gresham, OR 970302024

Telephone 9717034623
Associated Practice Facility / Clinic
🏢 4d Mental Health Services Facility NPI 1336997188

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Gresham, OR

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

Practicing in Gresham, 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: 2025-06-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 3715820

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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1013896323
Jordin Stepan

Counselor - Addiction (Substance Use Disorder)

NPI 1114889979
Regina Burck , QMHP

Counselor - Mental Health

NPI 1225656366

Qualified Mental Health Professional

NPI 1265322093

CRM, CADCR

Jarren Anderson

Counselor - Addiction (Substance Use Disorder)

NPI 1316774946
NPI 1316829823

CADCR

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2025

Registered at 21440 SE STARK ST, GRESHAM, OR 970302024 (Tel: 9717034623)

📍
Updated Business Mailing Address June 20, 2025

Registered at 11010 SE DIVISION ST STE 11104SE, PORTLAND, OR 972666400 (Tel: 9717034623)

👤
Provider Name / Credentials Updated June 20, 2025

Recorded as DONAVAN SALSBURY, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2025

Peer Specialist (License #3715820 in OR)

🟢
Initial NPI Registration & Enumeration June 20, 2025

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: 1164319208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2025
Last Update: June 20, 2025
Sole Proprietor: No

Mailing Address

11010 Se Division St Ste 11104se

Portland, OR 972666400

Phone: 9717034623

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.