Individual provider · Type 1 NPI

Anthony L. Wilson, CRM

Peer Specialist · Coos Bay, OR

NPI number 1396201216 Active

Practice location

155 S Empire Blvd
Coos Bay, OR 97420-3374

Mailing address

1942 Sheridan Ave
North Bend, OR 97459-3416

Other practice locations

  • 125 SW C St, Madras, OR 97741-1458 · (541) 306-4566
  • 1435 NE 4th St Ste B, Bend, OR 97701-4268 · (541) 306-4446

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X19-CRM-044 (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.

30 other providers at this address

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About NPI 1396201216

Anthony L. Wilson, CRM's National Provider Identifier is 1396201216, issued on Feb 15, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coos Bay, OR. The record was last updated on Jan 31, 2020.