Individual provider · Type 1 NPI

Gary Irvin

Peer Specialist · Portland, OR

NPI number 1790646370 Active

Practice location

1616 E Burnside St
Portland, OR 97214-1453

Call (971) 271-6066 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X25-CRM-4399 (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 1790646370

Gary Irvin's National Provider Identifier is 1790646370, issued on Nov 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Nov 21, 2025.