Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Lattanzi, CRM

Individual provider Peer Specialist · NPI 1437983053

Bryan Lattanzi, CRM is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

12612 SE Stark St Bldg M
Portland, OR 97233-1058
Phone: (503) 906-9995
Fax: (503) 597-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)

Record details

NPI number1437983053
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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