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

Randy Brett Wilson

Individual provider Peer Specialist · NPI 1720976434

Randy Brett Wilson is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1720976434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing addressPo Box 8459, Portland, OR 97207-8459

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