Anthony L Wilson, CRM
Peer Specialist in Coos Bay, OR. Individual provider (NPI-1).
NPI number1396201216
StatusActive
Last updated in NPPESJan 31, 2020
Details
- NPI
- 1396201216
- Entity type
- Individual (NPI-1)
- Name
- Mr. Anthony L Wilson
- Credential
- CRM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2019
- Certification date
- Jan 31, 2020
- Last updated
- Jan 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 19-CRM-044 | OR | Yes |
Practice location
155 S Empire BlvdCoos Bay, OR 97420-3374
Phone 541-256-4686
Mailing address
1942 Sheridan AveNorth Bend, OR 97459-3416
Phone 541-256-4686 · Fax 541-756-2111
Other practice locations
125 Sw C St
Madras, OR 97741-1458
Madras, OR 97741-1458
Phone 541-306-4566 · Fax 541-320-9005
1435 Ne 4th St Ste B
Bend, OR 97701-4268
Bend, OR 97701-4268
Phone 541-306-4446 · Fax 541-550-2011
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All 51 Peer Specialist providers in Coos Bay · All 959 providers in Coos Bay
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