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

Tilden McDonald Jr., CRM/PSS

Individual provider Peer Specialist · NPI 1821691668

Tilden McDonald Jr., CRM/PSS is a Peer Specialist in Gresham, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

355 NW Division St
Gresham, OR 97030-5523
Phone: (971) 225-6695
Fax: (503) 231-1654
Show map & directions

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

Additional practice locations (1)

  • 1631 Sw Columbia St, Portland, OR 97201-6025 — (503) 231-2641

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20-CRM-067 (OR)
Peer Specialist Taxonomy 175T00000X · Licence THW000004376 (OR)

Record details

NPI number1821691668
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM/PSS
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

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