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ETHAN J NEWCOMB PSS
NPI 1699373324
Peer Specialist in Portland, OR

Active since October 14, 2020
1438 SE DIVISION ST, PORTLAND, OR 97202(503) 548-0346(503) 232-5959 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 26, 2021, Jul 2, 2021, Oct 14, 2020 (3 updates tracked since 2020).

About Ethan J Newcomb Pss NPPES

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

ETHAN J NEWCOMB PSS (NPI 1699373324) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW000104645) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1699373324
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameETHAN J NEWCOMBCredential: PSS
Location Address1438 SE DIVISION STPortland, OR 97202-1140
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 548-0346
Fax(503) 232-5959
Sole ProprietorNo
Enumeration DateOctober 14, 2020
Last NPPES UpdateAugust 26, 20213 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1699373324 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 · THW000104645
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.
1438 SE DIVISION ST, Portland, OR 97202
Open in Google Maps ↗

Other Identifiers 1

Medicaid500795004OR

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.

AMY MARIE ELNESS CADC II/QMHA-I
Counselor (Addiction (Substance Use Disorder))
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 261-0544
TEMIKA OKEGBE
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 261-0544
HEIDI M NICEWANDER CADC III/LCSW
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
MARIAH F PEEBLES MSW
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
KAREN P MOREHOUSE QMHP-C
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
VANDI HUSTON PWS, CRM
Peer Specialist
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346
MARSHAL JOSEPH GREGORY GAMBEE QMHA-R
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 261-0544
KARLI A MCNUTT QMHA-R
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 548-0346

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 Ethan Newcomb's NPI number?

The NPI number for Ethan Newcomb is 1699373324. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Ethan Newcomb located?

Ethan Newcomb practices at 1438 SE Division St, Portland, OR 97202. The listed phone number is (503) 548-0346.

What is Ethan Newcomb'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 Ethan Newcomb was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.