ERIC WILSON
NPI 1881393106
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 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.

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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