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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBERHEARDT BANE ELFVING, PWS, QMHA-R

Active

EBERHEARDT BANE ELFVING, PWS, QMHA-R is a Peer Specialist healthcare provider located in PORTLAND, Oregon. NPI 1255031860 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · PORTLAND, OR

Registration Details

NPI Number
1255031860
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2023 (3.455585982587 yrs)
Last Updated
Oct 16, 2025
Licenses
THW000108617 (OR)
25-QMHA-R-7213 (OR)

Practice Information

Address
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR, 972113237
Browse OR providers · Browse ZIP 97211
Phone
5039885558
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Case Manager

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.