person
Phillip Johnson
Peer Specialist in Portland, Oregon
NPI 1992430201

Phillip Johnson is a Peer Specialist based in Portland, OR. Phillip Johnson practices in Portland, OR. The NPI Number for Phillip Johnson is 1992430201 and holds a License No. (Oregon).

The current practice location address for Phillip Johnson is 8383 Ne Sandy Blvd Ste 110B, Portland, OR and can be reached out via phone at 971-373-4041 and via fax at 971-373-5285.

Location: 8383 Ne Sandy Blvd Ste 110B, Portland, OR, 97220-4986
person
Provider Profile Details
NPI Number
1992430201
Provider Name
Phillip Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8383 Ne Sandy Blvd Ste 110B, Portland, OR, 97220-4986
Phone Number
971-373-4041
Fax Number
971-373-5285
Provider Enumeration Date
07/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8383 Ne Sandy Blvd Ste 110B
City
State
Zip
97220-4967
Phone Number
971-373-4041
Fax Number
971-373-5285
person
Provider Business Mailing Address Details
Address
8383 Ne Sandy Blvd Ste 110B
City
State
Zip
97220-4967
Phone Number
971-373-4041
Fax Number
971-373-5285
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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