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

Wyman Macon

Individual provider Peer Specialist · NPI 1053060772

Wyman Macon is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

605 SE Cesar E Chavez Blvd
Portland, OR 97214-3216
Phone: (503) 231-7480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1053060772
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

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