MARTIN BURGESS PWS – NPI #1942169123
Peer Specialist

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.

MARTIN BURGESS is a peer specialist located in PORTLAND, OR. NPPES has assigned the NPI number 1942169123 to MARTIN BURGESS on January 21, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for MARTIN BURGESS below.

NPI Profile for
MARTIN BURGESS

NPI Number
1942169123
Enumeration Date

(about 5 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARTIN BURGESS
Credentials
PWS
Primary location
30 NE MLK BLVD
PORTLAND, OR 97232-2941
Phone: (503) 232-1099 Fax:
Mailing address
5151 SE HOLGATE BLVD APT 201
PORTLAND, OR 97206-3887
Phone: (503) 232-1099 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
OR 112033

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.