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WILFORD JOHNSON PSS, CRM
NPI 1538789656
Peer Specialist in Portland, OR

Active since April 18, 2020
3311 NE MARTIN LUTHER KING JR BLVD STE 104, PORTLAND, OR 97212(503) 206-8856 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wilford Johnson Pss, Crm NPPES

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

WILFORD JOHNSON PSS, CRM (NPI 1538789656) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW000004160) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1538789656
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameWILFORD JOHNSONCredential: PSS, CRM
Location Address3311 NE MARTIN LUTHER KING JR BLVD STE 104Portland, OR 97212-2086
Mailing Address3311 Ne Martin Luther King Jr Blvd Ste 104Portland, OR 97212-2086 · (503) 206-8856
Phone(503) 206-8856
Sole ProprietorNo
Enumeration DateApril 18, 2020
NPPES CertifiedApril 18, 2020
✔ NPI 1538789656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000004160
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.

3311 NE MARTIN LUTHER KING JR BLVD STE 104, Portland, OR 97212
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Other Identifiers 1

OtherTHW000004160OR · Oregon Health Authority

Other Providers at the Same Location NPPES 7

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

MARSHA HAYES
Peer Specialist
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 664-4874
AILENE JOYCE FARKAC MSW, PSS
Social Worker
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 206-8856
JERMAINE CHRISTOPHER MASON PEER SUPPORT SPECIAL
Peer Specialist
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 206-8856
ZACHARY EVAN HARRELL CADCR, QMHA
Counselor (Addiction (Substance Use Disorder))
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 206-8856
MATTHEW AARON HERMAN CADC-R
Counselor (Addiction (Substance Use Disorder))
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 206-8856
ELIZABETH DALTON
Social Worker (Clinical)
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 206-8856
TOMIKA DEVIN JONES
Counselor (Addiction (Substance Use Disorder))
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212
Multnomah County (503) 860-0303

Frequently Asked Questions

What is Wilford Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1538789656, enumerated as an "individual" on April 18, 2020.

Where is the provider located?

The provider is located at 3311 NE MARTIN LUTHER KING JR BLVD STE 104 PORTLAND, OR 97212 and the phone number is (503) 206-8856.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.

What insurance does Wilford Johnson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.