Individual provider · Type 1 NPI

Johnathan T. Stillwagon

Peer Specialist · Medford, OR

NPI number 1770400129 Active

Practice location

1026 N Berkeley Way Unit 2MEDFORD
Medford, OR 97504-6226

Call (458) 226-0017 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X7958 (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.

Other peer specialist providers in Medford

See all in Medford →

About NPI 1770400129

Johnathan T. Stillwagon's National Provider Identifier is 1770400129, issued on Jul 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Jul 6, 2026.