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ERIC WILSON
NPI 1881393106
Peer Specialist in Portland, OR

Active since February 24, 2023
12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eric Wilson NPPES

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

ERIC WILSON (NPI 1881393106) is an individual peer specialist in Portland, Oregon and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1881393106
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameERIC WILSON
Location Address12121 E BURNSIDE STPortland, OR 97216-3737
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Phone(971) 361-7700
Sole ProprietorNo
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1881393106 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.

12121 E BURNSIDE ST, Portland, OR 97216
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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.

HOLLY NATASHA HERRERA
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700
ANNASTACIA DESIREE WEISS
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700
ELISIA LOPEZ-MENDIOLA LCSW, QMHP
Counselor (Professional)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7764
MISTI RANEE MILLER
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700
AASHER VAN LAER QMHA
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700
HEATHER CURRAN FARE
Social Worker (Clinical)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700
A'LISSA RICHARDS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700
TAYLER MARIE DAVIS
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Multnomah County (971) 361-7700

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 Eric Wilson's NPI number?

The NPI number for Eric Wilson is 1881393106. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Eric Wilson located?

Eric Wilson practices at 12121 E Burnside St, Portland, OR 97216. The listed phone number is (971) 361-7700.

What is Eric 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 Eric Wilson was last updated on February 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.