Stacy Ann Wilson, CRM - Portland, OR

Stacy Ann Wilson, CRM

Peer Specialist in Portland, Oregon

NPI 1386277150

Stacy Ann Wilson is a Peer Specialist based in Portland, OR. Stacy Ann Wilson practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Stacy Ann Wilson is 1386277150 and holds a License No. 20-CRM-007 (Oregon).

The current practice location address for Stacy Ann Wilson is 2901 E Burnside St, Portland, OR and can be reached out via phone at 503-238-5203.

Location: 2901 E Burnside St, Portland, OR, 97214-1831

NPI Number

1386277150

Provider Name

Stacy Ann Wilson

Credential

CRM

Provider Entity Type

Individual

Gender

Female

Address

2901 E Burnside St, Portland, OR, 97214-1831

Phone Number

503-238-5203

Fax Number

Provider Enumeration Date

02/19/2020

Last Update Date

03/10/2024

Address

2901 E Burnside St

City

Portland

State

Oregon

Zip

97214-1831

Phone Number

503-238-5203

Fax Number

Address

2901 E Burnside St

City

Portland

State

Oregon

Zip

97214-1831

Phone Number

503-238-5203

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

20-CRM-007 (Oregon)

Definition

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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