Individual provider · Type 1 NPI

Jordan Abree Villines, PPS

Peer Specialist · Portland, OR

NPI number 1174476204 Active

Practice location

314 NE 19th Ave
Portland, OR 97232-2829

Fax (503) 548-4013

Mailing address

5311 N Vancouver Ave
Portland, OR 97217-2731

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X116169 (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 1174476204

Jordan Abree Villines, PPS's National Provider Identifier is 1174476204, issued on Feb 18, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2026.