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Active NPI 1255031860 Individual Practitioner Male Practitioner

Eberheardt Bane Elfving , PWS, QMHA-R

Peer Specialist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Eberheardt Elfving, PWS, QMHA-R is a registered healthcare professional specializing in Peer Specialist in Portland, OR. Practice services are available at 5329 NE MARTIN LUTHER KING JR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5329 Ne Martin Luther King Jr Blvd

Portland, OR 972113237

Telephone 5039885558
Associated Practice Facility / Clinic
🏢 Northeast Health Center Facility NPI 1437531951

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
769 Specialists

Practicing in Portland, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR THW000108617

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

State License OR 25-QMHA-R-7213

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Maria Silva

Physician Assistant

NPI 1043930811
Whitney Thomas

Nurse Practitioner - Family

NPI 1043967151
NPI 1053463224

Doctor of Osteopathic Medicine (D.O.)

Adrienne Reed , RDH

Dental Hygienist

NPI 1083586127

Registered Dental Hygienist

Chameka Taylor , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1104597525

NURSEPRACTITIONER

Carolina Angulo

Community Health Worker

NPI 1154272136

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address October 16, 2025

Registered at 619 NW 6TH AVE FL 7, PORTLAND, OR 972093991

👤
Provider Name / Credentials Updated October 16, 2025

Recorded as EBERHEARDT ELFVING, PWS, QMHA-R

📍
Updated Practice Location May 23, 2025

Registered at 5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 972113237 (Tel: 5039885558)

📍
Updated Business Mailing Address May 23, 2025

Registered at 619 NW 6TH AVE, PORTLAND, OR 972093991

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2025

Peer Specialist (License #THW000108617 in OR)

📍
Updated Practice Location December 20, 2023

Registered at 8915 SW CENTER ST, TIGARD, OR 972236307 (Tel: 5037263740)

📍
Updated Business Mailing Address December 20, 2023

Registered at 8915 SW CENTER ST, TIGARD, OR 972236307 (Tel: 5037263740)

👤
Provider Name / Credentials Updated December 20, 2023

Recorded as EBERHEARDT WILSON, PWS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Counselor

NPI Profile Active March 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2023

Registered at 13942 NE GLISAN ST, PORTLAND, OR 972303350 (Tel: 9713027990)

📍
Updated Business Mailing Address March 03, 2023

Registered at PO BOX 8459, PORTLAND, OR 972078459

👤
Provider Name / Credentials Updated March 03, 2023

Recorded as EBERHEARDT WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2023

Technician

🟢
Initial NPI Registration & Enumeration March 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255031860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2023
Last Update: October 16, 2025
Sole Proprietor: No

Mailing Address

619 Nw 6th Ave Fl 7

Portland, OR 972093991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.