Individual provider · Type 1 NPI

Bethanie Wilson, CRM

Peer Specialist · Gresham, OR

NPI number 1104708015 Active

Practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Call (503) 740-1971 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X25-CRM-4634 (OR)

Peer Specialist: 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.

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About NPI 1104708015

Bethanie Wilson, CRM's National Provider Identifier is 1104708015, issued on Jul 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on Jul 22, 2025.