Individual provider · Type 1 NPI

Brandon Winward

Peer Specialist · Gresham, OR

NPI number 1376391904 Active

Practice location

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

Fax (503) 771-2436

Mailing address

10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-25-5276 (OR)
Peer Specialist Primary 175T00000X22-CRM-1087 (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.

22 other providers at this address

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About NPI 1376391904

Brandon Winward's National Provider Identifier is 1376391904, issued on May 8, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gresham, OR. The record was last updated on Oct 10, 2026.