Individual provider · Type 1 NPI

John Skyler Johnson-Wagner

Peer Specialist · Portland, OR

NPI number 1144918533 Active

Practice location

2236 SE Belmont St
Portland, OR 97214-2817

Call (503) 455-7699 Map

Mailing address

330 NE Dekum St Apt 411
Portland, OR 97211-2986

Other practice locations

  • 4400 NE Halsey St, Portland, OR 97213-1545 · (503) 215-7423

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XTHW000108626 (OR)

Peer Specialist: 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.

11 other providers at this address

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About NPI 1144918533

John Skyler Johnson-Wagner's National Provider Identifier is 1144918533, issued on Apr 25, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 25, 2023.