ANTHONY JEROME WORTHY
NPI 1336092733
Peer Specialist in Portland, OR

Active since February 17, 2026
111 SW NAITO PKWY, PORTLAND, OR 97204(888) 316-0451 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Peer Specialist

About ANTHONY WORTHY

This page provides the complete NPI Profile along with additional information for Anthony Worthy, a provider established in Portland, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1336092733 assigned on February 2026. The practitioner's primary taxonomy code is 175T00000X with license number CPSS.PR.7005247 (WA). The provider is registered as an individual and his NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1336092733 Verify this NPI
Provider Name
ANTHONY JEROME WORTHY
Gender
Male
Entity Type
Individual
Location Address
111 SW NAITO PKWY PORTLAND, OR 97204
Location Phone
(888) 316-0451
Mailing Address
9811 NE 125TH LN APT 2 KIRKLAND, WA 98034
Is Sole Proprietor?
Yes
Enumeration Date
02-17-2026
Last Update Date
05-15-2026
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Location Map

Secondary Locations

  • 950 Broadway Ste 402
    Tacoma, WA 98402
    (253) 235-9130

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
CPSS.PR.7005247
License State
WA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336092733, enumerated as an "individual" on February 17, 2026.

The provider is located at 111 SW NAITO PKWY PORTLAND, OR 97204 and the phone number is (888) 316-0451.

Peer Specialist with taxonomy code 175T00000X.