Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134657638 Individual Practitioner Female Practitioner

Kaiwi Ruth Valentine Murdock , CPSS

Peer Specialist • North Bend, OR

Professional Overview & Biography Verified Profile Summary

Kaiwi Murdock, CPSS is a registered healthcare professional specializing in Peer Specialist in North Bend, OR. Practice services are available at 1913 MEADE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1913 Meade St

North Bend, OR 974593432

Telephone 5414795901
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in North Bend, OR

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

Practicing in North Bend, 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

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
R58765252

Practice Associates & Co-Workers

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

40 Associated Practitioners
Karen Porter

Counselor - Mental Health

NPI 1033489588
Matthew Brumbaugh

Counselor - Mental Health

NPI 1033540323
NPI 1043763030
Allison Roy

Counselor

NPI 1053836031
Alma Robles , RN

Community Based Residential Treatment Facility, Mental Illness

NPI 1093085573

Registered Nurse

Jason Morla

Counselor - Mental Health

NPI 1154691863

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2017

Registered at 1913 MEADE ST, NORTH BEND, OR 974593432 (Tel: 5414795901)

📍
Updated Business Mailing Address June 26, 2017

Registered at 715 SW RAMSEY, AVENUE, GRANTS PASS, OR 97527 (Tel: 5414795901)

👤
Provider Name / Credentials Updated June 26, 2017

Recorded as KAIWI MURDOCK, CPSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2017

Peer Specialist

NPI Profile Active May 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2017

Registered at 715 SW RAMSEY, AVENUE, GRANTS PASS, OR 97527 (Tel: 5414795901)

📍
Updated Business Mailing Address May 27, 2017

Registered at PO BOX 13, NORTH BEND, OR 97459 (Tel: 2097699923)

👤
Provider Name / Credentials Updated May 27, 2017

Recorded as KAIWI MURDOCK, CPSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2017

Peer Specialist (License #A433830 in OR)

🟢
Initial NPI Registration & Enumeration May 27, 2017

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: 1134657638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2017
Last Update: June 26, 2017
Sole Proprietor: Yes

Mailing Address

715 Sw Ramsey, Avenue

Grants Pass, OR 97527

Phone: 5414795901

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.