KENNETH POWELL-WILSON
NPI 1851185508
Peer Specialist in Portland, OR

Active since April 08, 2025
714 NE ALBERTA ST, PORTLAND, OR 97211(503) 287-4932 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Powell-wilson NPPES

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

KENNETH POWELL-WILSON (NPI 1851185508) is an individual peer specialist in Portland, Oregon, licensed in Oregon (113668) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1851185508
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH POWELL-WILSON
Location Address714 NE ALBERTA STPortland, OR 97211-3960
Mailing AddressPo Box 11526Portland, OR 97211-0526
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 7, 2025
NPI 1851185508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 113668
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 113668 (OR)
714 NE ALBERTA ST, Portland, OR 97211

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
714 NE ALBERTA ST
PORTLAND, OR 97211
Nurse Practitioner (Family)
714 NE ALBERTA ST
PORTLAND, OR 97211
Clinic/Center (Primary Care)
714 NE ALBERTA ST
PORTLAND, OR 97211

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 Kenneth Powell-wilson's NPI number?

The NPI number for Kenneth Powell-wilson is 1851185508. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Kenneth Powell-wilson located?

Kenneth Powell-wilson practices at 714 NE Alberta St, Portland, OR 97211. The listed phone number is (503) 287-4932.

What is Kenneth Powell-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 Kenneth Powell-wilson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.