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AMANDA WILLARD
NPI 1245751890
Peer Specialist in Milwaukie, OR

Active since July 05, 2017
11097 SE 21ST AVE, MILWAUKIE, OR 97222(971) 803-8055 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Willard NPPES

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

AMANDA WILLARD (NPI 1245751890) is an individual peer specialist in Milwaukie, Oregon and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1245751890
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA WILLARD
Location Address11097 SE 21ST AVEMilwaukie, OR 97222-7640
Mailing Address11097 Se 21st AveMilwaukie, OR 97222-7640
Phone(971) 803-8055
Sole ProprietorNo
Enumeration DateJuly 5, 2017
✔ NPI 1245751890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
11097 SE 21ST AVE, Milwaukie, OR 97222
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Other Providers at the Same Location NPPES 7

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

MARIELLA MANDUJANO
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (503) 974-9025
SOLMAIRA TRUJILLO
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (458) 201-2579
DIEUSON ALIX
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 334-9295
DARRIN HERNANDEZ
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (458) 201-2754
ARMIN TRUJILLO II
Peer Specialist
11097 SE 21ST AVE
PORTLAND, OR 97222
Clackamas County (541) 521-0043
ARIELLE MORTENSEN
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 271-0891
SAMANTHA MICHELLE ELLIS BA
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 401-0364

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 Amanda Willard's NPI number?

The NPI number for Amanda Willard is 1245751890. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Amanda Willard located?

Amanda Willard practices at 11097 SE 21st Ave, Milwaukie, OR 97222. The listed phone number is (971) 803-8055.

What is Amanda Willard'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 Amanda Willard was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.