1. Home
  2. Directory
  3. Oregon
  4. Gresham
  5. Peer Specialist
  6. NPI Profile

BETHANIE WILSON CRM
NPI 1104708015
Peer Specialist in Gresham, OR

Active since July 22, 2025
1217 NE BURNSIDE RD STE 701, GRESHAM, OR 97030(503) 740-1971 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethanie Wilson Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANIE WILSON CRM (NPI 1104708015) is an individual peer specialist in Gresham, Oregon, licensed in Oregon (25-CRM-4634) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1104708015
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameBETHANIE WILSONCredential: CRM
Location Address1217 NE BURNSIDE RD STE 701Gresham, OR 97030-5770
Mailing Address1217 Ne Burnside Rd Ste 701Gresham, OR 97030-5770 · (503) 740-1971
Phone(503) 740-1971
Sole ProprietorNo
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1104708015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 25-CRM-4634
Definition
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.
1217 NE BURNSIDE RD STE 701, Gresham, OR 97030
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARISSA ROSE MATHEWS CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GWENDOLYN JOY KOCHAN LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 665-8959
IZABELLA JOHNSON QMHA-SOCIAL WORK
Counselor (Mental Health)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
EASTON HALLOCK CADC II, QMHA II
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 866-0877
AARON PETRARCA
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GOLDEN RIBBON ACUPUNCTURE, LLC
Clinic/Center (Health Service)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 839-5510
SHANNON WELSH CRM, CADC
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 866-0877
ELIJAH ANDERSEN CRM
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethanie Wilson's NPI number?

The NPI number for Bethanie Wilson is 1104708015. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Bethanie Wilson located?

Bethanie Wilson practices at 1217 NE Burnside Rd Ste 701, Gresham, OR 97030. The listed phone number is (503) 740-1971.

What is Bethanie Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Bethanie Wilson was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.