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IRVIN D WILSON CADC I
NPI 1952931776
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since January 21, 2020
17645 NW SAINT HELENS RD, PORTLAND, OR 97231(503) 621-1069(503) 621-0200 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Nov 30, 2020, Jan 21, 2020 (3 updates tracked since 2020).

About Irvin D Wilson Cadc I NPPES

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

IRVIN D WILSON CADC I (NPI 1952931776) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (20-11-14) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1952931776
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameIRVIN D WILSONCredential: CADC I
Location Address17645 NW SAINT HELENS RDPortland, OR 97231-1729
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 621-1069
Fax(503) 621-0200
Sole ProprietorNo
Enumeration DateJanuary 21, 2020
Last NPPES UpdateJune 29, 20223 updates tracked since enumeration
NPPES CertifiedJune 29, 2022
✔ NPI 1952931776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 20-11-14
17645 NW SAINT HELENS RD, Portland, OR 97231
Open in Google Maps ↗

Other Identifiers 1

Medicaid500776112OR

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.

NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
MICHAEL HENRY LARICCIA CADC I
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMBER R ESPINO-BARNES CADC II/QMHP-C
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
LUCY ROSE PETERSON CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
PAMELA MARIE SADELMYER CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMY C SMITH CADC, CRM, QMHA
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
VICTORIA K LABUHN RN
Registered Nurse
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
JANUS K VANDERHOOF CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069

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 Irvin Wilson's NPI number?

The NPI number for Irvin Wilson is 1952931776. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Irvin Wilson located?

Irvin Wilson practices at 17645 NW Saint Helens Rd, Portland, OR 97231. The listed phone number is (503) 621-1069.

What is Irvin Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Irvin Wilson was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.