ANTHONY JEROME WORTHY
NPI 1336092733
Peer Specialist in Portland, OR
- 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
- Code Navigator
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.