Active NPI
Daniel Quilici
- Peer Specialist
- Portland, OR
National Provider Identifier
1518870930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 115697
- Practice address
- 4212 SE Division St Ste 100
Portland, OR 97206-1628 - Phone
- (503) 238-0705
- Fax
- (503) 236-7166
- NPI assigned
- Sep 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 115697 | OR | Primary |
Addresses
Primary practice location
4212 SE Division St Ste 100
Portland, OR 97206-1628
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 674-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1518870930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8459",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972078459",
"telephone_number": "503-674-7777",
"fax_number": "503-235-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 SE DIVISION ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061628",
"telephone_number": "503-238-0705",
"fax_number": "503-236-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILICI",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "115697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.