TYLER WING
NPI 1528516143
Peer Specialist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since September 12, 2016

1825 NE GLISAN ST, PORTLAND, OR 97232(707) 572-7548 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2019, Sep 12, 2016 (2 updates tracked since 2016).

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About Tyler Wing NPPES

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

TYLER WING (NPI 1528516143) is an individual peer specialist in Portland, Oregon and active in the NPI registry since September 2016. He maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1528516143

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameTYLER WING

Location Address1825 NE GLISAN STPortland, OR 97232-2844

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (707) 572-7548

Phone(707) 572-7548

Sole ProprietorNo

Enumeration DateSeptember 12, 2016

Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration

✔ NPI 1528516143 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.

1825 NE GLISAN ST, Portland, OR 97232

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