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JOHN SKYLER JOHNSON-WAGNER
NPI 1144918533
Peer Specialist in Portland, OR

Active since April 25, 2023
2236 SE BELMONT ST, PORTLAND, OR 97214(503) 455-7699 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Skyler Johnson-wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN SKYLER JOHNSON-WAGNER (NPI 1144918533) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW000108626) and active in the NPI registry since April 2023. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1144918533
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHN SKYLER JOHNSON-WAGNER
Location Address2236 SE BELMONT STPortland, OR 97214-2817
Mailing Address330 Ne Dekum St Apt 411Portland, OR 97211-2986
Phone(503) 455-7699
Sole ProprietorNo
Enumeration DateApril 25, 2023
NPPES CertifiedApril 15, 2023
✔ NPI 1144918533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000108626
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2236 SE BELMONT ST, Portland, OR 97214
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Secondary Practice Location 1

Location 14400 NE Halsey StPortland, OR 97213-1545 · Phone (503) 215-7423

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNE BRINKLEY
Peer Specialist
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
MASON CLARK BOUCHER
Counselor (Mental Health)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
NATHAN O MORALES
Counselor (Mental Health)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
EVAN RIAN JOHNSON
Nurse Practitioner (Family)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
CASCADE AIDS PROJECT
Clinic/Center (Primary Care)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 278-3890
CRYSTAL NOEL PERRY MSC, MSW
Social Worker (Clinical)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
ALEXA MORRILL DNP, FNP-C
Nurse Practitioner (Family)
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699
LYNX DEMUTH CRM, CADC-I
Student in an Organized Health Care Education/Training Program
2236 SE BELMONT ST
PORTLAND, OR 97214
Multnomah County (503) 445-7699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Johnson-wagner's NPI number?

The NPI number for John Johnson-wagner is 1144918533. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is John Johnson-wagner located?

John Johnson-wagner practices at 2236 SE Belmont St, Portland, OR 97214. The listed phone number is (503) 455-7699.

What is John Johnson-wagner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for John Johnson-wagner was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.