Individual provider · Type 1 NPI

Phillip Johnson

Peer Specialist · Portland, OR

NPI number 1992430201 Active

Practice location

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

Call (971) 373-4041 Map

Mailing address

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

Other practice locations

  • 8383 NE Sandy Blvd Ste 110B, Portland, OR 97220-4967 · (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 1992430201

Phillip Johnson's National Provider Identifier is 1992430201, issued on Jul 20, 2022. 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.