Individual provider · Type 1 NPI

Katherine Michelle Johnson

Peer Specialist · Pendleton, OR

NPI number 1164994380 Active

Practice location

331 SE 2nd St
Pendleton, OR 97801-2224

Call (541) 276-6207 Map

Fax (541) 276-4628

Mailing address

702 Sunset Dr
Ontario, OR 97914-3121

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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.

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About NPI 1164994380

Katherine Michelle Johnson's National Provider Identifier is 1164994380, issued on Dec 28, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pendleton, OR. The record was last updated on Dec 28, 2018.