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MR. NATHANIEL WADE THOMAS CRM, PSS
NPI 1508509068
Peer Specialist in Portland, OR

Active since April 13, 2022
7712 SW 45TH AVE APT 71, PORTLAND, OR 97219(503) 962-0194 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Nathaniel Wade Thomas Crm, Pss NPPES

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

MR. NATHANIEL WADE THOMAS CRM, PSS (NPI 1508509068) is an individual peer specialist in Portland, Oregon, licensed in Oregon (20-CRM-150) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1508509068
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. NATHANIEL WADE THOMASCredential: CRM, PSS
Location Address7712 SW 45TH AVE APT 71Portland, OR 97219-1591
Mailing Address7712 Sw 45th Ave Apt 71Portland, OR 97219-1591 · (503) 962-0194
Phone(503) 962-0194
Sole ProprietorYes
Enumeration DateApril 13, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1508509068 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 · 20-CRM-150
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.

7712 SW 45TH AVE APT 71, Portland, OR 97219
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Other Identifiers 1

Other20-CRM-150OR · Mhacbo

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 Nathaniel Thomas's NPI number?

The NPI number for Nathaniel Thomas is 1508509068. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Nathaniel Thomas located?

Nathaniel Thomas practices at 7712 SW 45th Ave Apt 71, Portland, OR 97219. The listed phone number is (503) 962-0194.

What is Nathaniel Thomas'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 Nathaniel Thomas was last updated on April 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.