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Randy Wilson
NPI 1720976434 · Peer Specialist · Portland, OR
Randy Wilson is a Peer Specialist provider in Portland, OR (NPI 1720976434).
Provider details
- NPI number
- 1720976434
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3036 Ne Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Randy Wilson's NPI number?
- Randy Wilson's National Provider Identifier (NPI) is 1720976434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randy Wilson's specialty?
- Randy Wilson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Randy Wilson located?
- Randy Wilson's practice location on file with NPPES is 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053.
- What is Randy Wilson's phone number?
- The practice phone number listed in the NPPES registry for Randy Wilson is (503) 283-3763.
- Is Randy Wilson's NPI active?
- Yes — Randy Wilson's NPI (1720976434) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.