Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538517420 Individual Practitioner Female Practitioner

Sadie A Campbell , PSS, QMHA-I

Peer Specialist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Sadie Campbell, PSS, QMHA-I is a registered healthcare professional specializing in Peer Specialist in Gresham, OR. Practice services are available at 620 NE 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Ne 2nd St

Gresham, OR 97030

Telephone 9712743757
Fax 5039125740
Associated Practice Facility / Clinic

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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR THW000001573

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR 19-QMHA-I-00637

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500747179 (OR)
Medicaid State Provider ID
500733945 (OR)

Secondary Practice Locations

1631 Sw Columbia St

Portland, OR 972016025

Phone: 5032312641

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathy Litvin , CSWA, QMHP-C

Counselor - Mental Health

NPI 1003213737

CSWA, QMHPC

Elizabeth Valadez , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1013765569
Christina Collier , QMHA-I

Counselor - Mental Health

NPI 1023570397

QMHAI

Jessica Trailer , QMHA-I

Counselor - Mental Health

NPI 1033758479

QMHAI

Danielle Curtis , CRM-II CADC-I QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063209914

CRMIICADCIQMHAR

NPI 1073060083

CADCR, CSWA

Career & Practice History Timeline

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

18 Historical Events
👤
Provider Name / Credentials Updated May 07, 2019

Recorded as SADIE CAMPBELL, PSS/QMHA-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Counselor (License #19-QMHA-I-00637 in OR)

👤
Provider Name / Credentials Updated March 21, 2019

Recorded as SADIE CAMPBELL, CRM/QMHA-I

📍
Updated Practice Location June 29, 2018

Registered at 620 NE 2ND ST, GRESHAM, OR 97030 (Tel: 9712743757)

👤
Provider Name / Credentials Updated June 29, 2018

Recorded as SADIE CAMPBELL, CRM/QMHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Counselor (License #16-CRM-215 in OR)

📍
Updated Practice Location March 17, 2018

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍
Updated Business Mailing Address March 17, 2018

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as SADIE CAMPBELL, CRM

📍
Updated Practice Location February 14, 2018

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍
Updated Business Mailing Address February 14, 2018

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated February 14, 2018

Recorded as SADIE CAMPBELL, CRM

NPI Profile Active June 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2016

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍
Updated Business Mailing Address June 01, 2016

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

👤
Provider Name / Credentials Updated June 01, 2016

Recorded as SADIE CAMPBELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Counselor

🟢
Initial NPI Registration & Enumeration June 01, 2016

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: 1538517420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2016
Last Update: August 16, 2019
Sole Proprietor: No

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

Phone: 5032241044

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.