Individual provider · Type 1 NPI

Kenneth Powell-Wilson

Peer Specialist · Portland, OR

NPI number 1851185508 Active

Practice location

714 NE Alberta St
Portland, OR 97211-3960

Call (503) 287-4932 Map

Mailing address

PO Box 11526
Portland, OR 97211-0526

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000X113668 (OR)
Peer Specialist Primary 175T00000X113668 (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.

3 other providers at this address

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About NPI 1851185508

Kenneth Powell-Wilson's National Provider Identifier is 1851185508, issued on Apr 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2025.