Charles Wylie is a Peer Specialist based in Portland, OR. Charles Wylie practices in Portland, OR. The NPI Number for Charles Wylie is 1902567845 and holds a License No. (Oregon).
The current practice location address for Charles Wylie is 7916 Se Foster Rd Ste 201, Portland, OR and can be reached out via phone at 503-290-8850.
Location: 7916 Se Foster Rd Ste 201, Portland, OR, 97292-0576
Provider Profile Details
NPI Number
1902567845
Provider Name
Charles Wylie
Credential
Provider Entity Type
Individual
Gender
Male
Address
7916 Se Foster Rd Ste 201, Portland, OR, 97292-0576
Phone Number
503-290-8850
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
7916 Se Foster Rd Ste 201
City
State
Zip
97206-4289
Phone Number
503-290-8850
Fax Number
Provider Business Mailing Address Details
Address
7916 Se Foster Rd Ste 201
City
State
Zip
97206-4289
Phone Number
503-290-8850
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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