KENNETH POWELL-WILSON NPI 1851185508

NPI Information

  • NPI: 1851185508
  • Provider Name: KENNETH POWELL-WILSON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 714 NE ALBERTA ST
    PORTLAND, OR
    ZIP 97211
  • Phone: (503) 287-4932

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NPI Details

Kenneth Powell-wilson 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. Kenneth Powell-wilson NPI is 1851185508. 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:

714 NE ALBERTA ST
PORTLAND, OR
ZIP 97211-960
Phone: (503) 287-4932

The enumeration date for this NPI number is 4/8/2025 and was last updated on 4/8/2025.

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
1106S00000XBehavior Technician113668OREGONNo
2175T00000XPeer Specialist113668OREGONYes

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: 11/21/2025

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