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

Mr. Anthony L Wilson, CRM

Individual provider Peer Specialist · NPI 1396201216

Mr. Anthony L Wilson, CRM is a Peer Specialist in Coos Bay, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

155 S Empire Blvd
Coos Bay, OR 97420-3374
Phone: (541) 256-4686
Show map & directions

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

Additional practice locations (2)

  • 1435 Ne 4th St Ste B, Bend, OR 97701-4268 — (541) 306-4446
  • 125 Sw C St, Madras, OR 97741-1458 — (541) 306-4566

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 19-CRM-044 (OR)

Record details

NPI number1396201216
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

Other providers in Coos Bay