person
Darnell Lee Johnson, CRM,PSS,THW
Peer Specialist in Portland, Oregon
NPI 1306570403

Darnell Lee Johnson is a Peer Specialist based in Portland, OR. Darnell Lee Johnson practices in Portland, OR and has the professional credentials of CRM,PSS,THW. The NPI Number for Darnell Lee Johnson is 1306570403 and holds a License No. 22-CRM-930 (Oregon).

The current practice location address for Darnell Lee Johnson is 2720 Ne Flanders St, Portland, OR and can be reached out via phone at 503-238-5203 and via fax at 503-238-5202.

Location: 2720 Ne Flanders St, Portland, OR, 97232-3160
person
Provider Profile Details
NPI Number
1306570403
Provider Name
Darnell Lee Johnson
Credential
CRM,PSS,THW
Provider Entity Type
Individual
Gender
Male
Address
2720 Ne Flanders St, Portland, OR, 97232-3160
Phone Number
503-238-5203
Fax Number
503-238-5202
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2720 Ne Flanders St
City
State
Zip
97232-3160
Phone Number
503-238-5203
Fax Number
503-238-5202
person
Provider Business Mailing Address Details
Address
2720 Ne Flanders St
City
State
Zip
97232-3160
Phone Number
503-238-5203
Fax Number
503-238-5202
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
22-CRM-930 (Oregon)
Definition
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.
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