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

Tracy Benjamin Nelson, CRM

Individual provider Peer Specialist · NPI 1164256558

Tracy Benjamin Nelson, CRM is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
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Practice location Address checks out

6828 SE Holgate Blvd
Portland, OR 97206-3504
Phone: (503) 795-3987
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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 24-CRM-2940 (OR)

Record details

NPI number1164256558
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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