Individual provider · Type 1 NPI

Eberheardt Bane Elfving, PWS, QMHA-R

Peer Specialist · Portland, OR

NPI number 1255031860 Active

Practice location

5329 NE Martin Luther King Jr Blvd
Portland, OR 97211-3237

Call (503) 988-5558 Map

Mailing address

619 NW 6th Ave Fl 7
Portland, OR 97209-3991

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000108617 (OR)
Case Manager/Care Coordinator 171M00000X25-QMHA-R-7213 (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 1255031860

Eberheardt Bane Elfving, PWS, QMHA-R's National Provider Identifier is 1255031860, issued on Mar 3, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Oct 16, 2025.