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MR. ANTHONY L WILSON CRM
NPI 1396201216
Peer Specialist in Coos Bay, OR

Active since February 15, 2019
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 256-4686 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2020, Feb 15, 2019 (2 updates tracked since 2019).

About Mr. Anthony L Wilson Crm NPPES

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

MR. ANTHONY L WILSON CRM (NPI 1396201216) is an individual peer specialist in Coos Bay, Oregon, licensed in Oregon (19-CRM-044) and active in the NPI registry since February 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396201216
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. ANTHONY L WILSONCredential: CRM
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address1942 Sheridan AveNorth Bend, OR 97459-3416 · (541) 256-4686 · Fax (541) 756-2111
Phone(541) 256-4686
Sole ProprietorNo
Enumeration DateFebruary 15, 2019
Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration
✔ NPI 1396201216 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 · 19-CRM-044
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.
155 S EMPIRE BLVD, Coos Bay, OR 97420
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1125 SW C StMadras, OR 97741-1458 · Phone (541) 306-4566 · Fax (541) 320-9005
Location 21435 NE 4th St Ste BBend, OR 97701-4268 · Phone (541) 306-4446 · Fax (541) 550-2011

Other Identifiers 1

Other19-CRM-044OR · Mhacbo

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.

SARAH SUSAN TUCKER CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
JASON ALLEN PAUL PSS, CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
WILLIAM TODD STONE CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
KASSIE LIBBETT
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 796-8437
KELLY MARIE HERZOG
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
TASHA ANNE WALTER CADC 1, CRM, PSS
Counselor (Addiction (Substance Use Disorder))
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
REBECCA JEAN ALLDRIDGE
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 500-6223
RONNI WALTZ PSS
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111

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 Anthony Wilson's NPI number?

The NPI number for Anthony Wilson is 1396201216. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Where is Anthony Wilson located?

Anthony Wilson practices at 155 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 256-4686.

What is Anthony 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 Anthony Wilson was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.