Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY BENJAMIN NELSON, CRM
ActiveTRACY BENJAMIN NELSON, CRM is a Peer Specialist healthcare provider located in PORTLAND, Oregon. NPI 1164256558 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · PORTLAND, OR
Registration Details
- NPI Number
- 1164256558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2024 (2.0398651677786 yrs)
- Last Updated
- Aug 28, 2024
- License
-
24-CRM-2940 (OR)
Practice Information
- Address
-
6828 SE HOLGATE BLVDPORTLAND, OR, 972063504Browse OR providers · Browse ZIP 97206
- Phone
- 5037953987
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| GARY D WARNOCK | CADC I | 1740484286 |
| KERI MCNICHOLAS | — | 1235322686 |
| MRS. DEBRA LYNN RUSSELL | — | 1760658462 |
| JIM V WHIPPLE | — | 1598095713 |
| SHERYL COOKSLEY | — | 1407145626 |
| KRATER H BUELL | PSS | 1538426978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.