IndividualActive
Phillip Johnson
NPI 1992430201 · Peer Specialist · Portland, OR
Phillip Johnson is a Peer Specialist provider in Portland, OR (NPI 1992430201).
Provider details
- NPI number
- 1992430201
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
10615 Se Cherry Blossom Dr Ste 250
Portland, OR 97216-3103
Phone: (971) 373-4041
Street-level locationGet directions
Mailing address
8383 Ne Sandy Blvd Ste 440
Portland, OR 97220-4986
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.