Brysen Charles Uhalde, CRM, PSSAA
Peer Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1093662355
StatusActive
Last updated in NPPESMar 14, 2026
Details
- NPI
- 1093662355
- Entity type
- Individual (NPI-1)
- Name
- Brysen Charles Uhalde
- Credential
- CRM, PSSAA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2026
- Certification date
- Mar 14, 2026
- Last updated
- Mar 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 116035 | OR | Yes |
Practice location
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 503-234-9591
Mailing address
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 503-234-9591
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