Phillip Johnson - Portland, OR

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

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

Address

8383 Ne Sandy Blvd Ste 110B

City

Portland

State

Oregon

Zip

97220-4967

Phone Number

971-373-4041

Fax Number

971-373-5285

Address

8383 Ne Sandy Blvd Ste 110B

City

Portland

State

Oregon

Zip

97220-4967

Phone Number

971-373-4041

Fax Number

971-373-5285

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

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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