Individual provider · Type 1 NPI

Ambrosia Johnson

Peer Specialist · Portland, OR

NPI number 1952097230 Active

Practice location

10615 SE Cherry Blossom Dr Ste 250
Portland, OR 97216-3103

Mailing address

8383 NE Sandy Blvd Ste 440
Portland, OR 97220-4986

Other practice locations

  • 8383 NE Sandy Blvd Ste 440, Portland, OR 97220-4986 · (971) 373-4041

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 1952097230

Ambrosia Johnson's National Provider Identifier is 1952097230, issued on Apr 11, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 14, 2025.