Individual provider · Type 1 NPI
Jason Wilcox
Peer Specialist · Enterprise, OR
NPI number
1295680155
Active
Practice location
PO Box 268
Enterprise, OR 97828-0268
Fax (541) 426-3035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
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.
Another provider at this address
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About NPI 1295680155
Jason Wilcox's National Provider Identifier is 1295680155, issued on Mar 4, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Enterprise, OR. The record was last updated on Mar 4, 2026.