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

Mr. Nathaniel Wade Thomas, CRM, PSS

Individual provider Peer Specialist · NPI 1508509068

Mr. Nathaniel Wade Thomas, CRM, PSS is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
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Practice location Address checks out

7712 SW 45th Ave Apt 71
Portland, OR 97219-1591
Phone: (503) 962-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 20-CRM-150 (OR)

Record details

NPI number1508509068
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM , PSS
Sole proprietorYes
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 11, 2022

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