Individual
ANTHONY JEROME WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 SW NAITO PKWY, PORTLAND, OR 97204-3512
(888) 316-0451
Mailing address
9811 NE 125TH LN APT 2, KIRKLAND, WA 98034-2780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
CPSS.PR.7005247
WA
Other
Enumeration date
02/17/2026
Last updated
05/15/2026
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