Brandon Winward, is a
Peer Specialist based in Gresham, Oregon. Brandon Winward is licensed to practice in Oregon (license number 22-CRM-1078) and his current practice location is
1217 Ne Burnside Rd Ste 701, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 740-1971.
NPI number for Brandon Winward is 1376391904 and his current mailing address is 10117 Se Sunnyside Rd # F1217, Clackamas, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376391904.
Healthcare Provider's Profile
| Full Name | Brandon Winward |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
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| Location | 1217 Ne Burnside Rd Ste 701, Gresham, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376391904
- Provider Enumeration Date: 05/08/2024
- Last Update Date: 08/07/2026
Medical Identifiers
Medical identifiers for Brandon Winward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376391904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-25-5276 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 22-CRM-1078 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Winward is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brandon Winward, 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708 Ph: (503) 740-1971 | Brandon Winward, 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 Ph: (503) 740-1971 |
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