Eric Wilson is a Peer Specialist based in Portland, OR. Eric Wilson practices in Portland, OR. The NPI Number for Eric Wilson is 1881393106 and holds a License No. (Oregon).
The current practice location address for Eric Wilson is 12121 E Burnside St, Portland, OR and can be reached out via phone at 971-361-7700.
Location: 12121 E Burnside St, Portland, OR, 97209-3609
Provider Profile Details
NPI Number
1881393106
Provider Name
Eric Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
12121 E Burnside St, Portland, OR, 97209-3609
Phone Number
971-361-7700
Fax Number
Provider Enumeration Date
02/24/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
12121 E Burnside St
City
State
Zip
97216-3737
Phone Number
971-361-7700
Fax Number
Provider Business Mailing Address Details
Address
12121 E Burnside St
City
State
Zip
97216-3737
Phone Number
971-361-7700
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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