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

Eberheardt Bane Elfving, PWS, QMHA-R

Individual provider Peer Specialist · NPI 1255031860

Eberheardt Bane Elfving, PWS, QMHA-R is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5329 NE Martin Luther King Jr Blvd
Portland, OR 97211-3237
Phone: (503) 988-5558
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW000108617 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 25-QMHA-R-7213 (OR)

Record details

NPI number1255031860
Entity typeIndividual (Type 1)
GenderMale
Credentials PWS , QMHA-R
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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