TRACY BENJAMIN NELSON CRM
NPI 1164256558
Peer Specialist in Portland, OR

Active since August 28, 2024
6828 SE HOLGATE BLVD, PORTLAND, OR 97206(503) 795-3987 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Benjamin Nelson Crm NPPES

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

TRACY BENJAMIN NELSON CRM (NPI 1164256558) is an individual peer specialist in Portland, Oregon, licensed in Oregon (24-CRM-2940) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1164256558
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTRACY BENJAMIN NELSONCredential: CRM
Location Address6828 SE HOLGATE BLVDPortland, OR 97206-3504
Mailing Address6828 Se Holgate BlvdPortland, OR 97206-3504 · (503) 795-3987
Sole ProprietorNo
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1164256558 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 · 24-CRM-2940
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.

6828 SE HOLGATE BLVD, Portland, OR 97206

Other Providers at the Same Location NPPES 20

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

Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Substance Abuse Rehabilitation Facility
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206

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 Tracy Nelson's NPI number?

The NPI number for Tracy Nelson is 1164256558. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Tracy Nelson located?

Tracy Nelson practices at 6828 SE Holgate Blvd, Portland, OR 97206. The listed phone number is (503) 795-3987.

What is Tracy Nelson'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 Tracy Nelson was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.