Wilford Johnson, PSS, CRM - Portland, OR

Wilford Johnson, PSS,CRM

Peer Specialist in Portland, Oregon

NPI 1538789656

Wilford Johnson is a Peer Specialist based in Portland, OR. Wilford Johnson practices in Portland, OR and has the professional credentials of PSS,CRM. The NPI Number for Wilford Johnson is 1538789656 and holds a License No. THW000004160 (Oregon).

The current practice location address for Wilford Johnson is 3311 Ne Martin Luther King Jr Blvd Ste 104, Portland, OR and can be reached out via phone at 503-206-8856.

Location: 3311 Ne Martin Luther King Jr Blvd Ste 104, Portland, OR, 97212-2086

NPI Number

1538789656

Provider Name

Wilford Johnson

Credential

PSS,CRM

Provider Entity Type

Individual

Gender

Male

Address

3311 Ne Martin Luther King Jr Blvd Ste 104, Portland, OR, 97212-2086

Phone Number

503-206-8856

Fax Number

Provider Enumeration Date

04/18/2020

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
THW000004160	01	OR	OREGON HEALTH AUTHORITY

Address

3311 Ne Martin Luther King Jr Blvd Ste 104

City

Portland

State

Oregon

Zip

97212-2086

Phone Number

503-206-8856

Fax Number

Address

3311 Ne Martin Luther King Jr Blvd Ste 104

City

Portland

State

Oregon

Zip

97212-2086

Phone Number

503-206-8856

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

THW000004160 (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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