MR. NATHANIEL WADE THOMAS CRM PSS NPI 1508509068

NPI Information

  • NPI: 1508509068
  • Provider Name: MR. NATHANIEL WADE THOMAS, CRM, PSS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 7712 SW 45TH AVE APT 71
    PORTLAND, OR
    ZIP 97219
  • Phone: (503) 962-0194

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NPI Details

MR. Nathaniel Wade Thomas, CRM, PSS is a peer specialist in Portland, OR. The provider is 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. MR. Nathaniel Wade Thomas, CRM, PSS NPI is 1508509068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7712 SW 45TH AVE APT 71
PORTLAND, OR
ZIP 97219-591
Phone: (503) 962-0194

The enumeration date for this NPI number is 4/13/2022 and was last updated on 4/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist20-CRM-150OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120-CRM-150OTHEROREGONMHACBO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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