Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JOHNATHAN T STILLWAGON
NPI 1770400129
Peer Specialist in Medford, OR

Q: What is Johnathan Stillwagon's NPI number?

The NPI number for Johnathan Stillwagon is 1770400129. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Q: What is Johnathan Stillwagon's specialty?

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

Active since July 06, 2026

1026 N BERKELEY WAY UNIT 2MEDFORD, MEDFORD, OR 97504(458) 226-0017 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johnathan T Stillwagon NPPES

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

JOHNATHAN T STILLWAGON (NPI 1770400129) is an individual peer specialist in Medford, Oregon, licensed in Oregon (7958) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1770400129

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJOHNATHAN T STILLWAGON

Location Address1026 N BERKELEY WAY UNIT 2MEDFORDMedford, OR 97504-6226

Mailing Address1026 N Berkeley Way Unit 2medfordMedford, OR 97504-6226 · (458) 226-0017

Phone(458) 226-0017

Sole ProprietorYes

Enumeration DateJuly 6, 2026

NPPES CertifiedJuly 6, 2026

✔ NPI 1770400129 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 · 7958

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.

1026 N BERKELEY WAY UNIT 2MEDFORD, Medford, OR 97504

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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 Johnathan Stillwagon's NPI number?

The NPI number for Johnathan Stillwagon is 1770400129. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Johnathan Stillwagon located?

Johnathan Stillwagon practices at 1026 N Berkeley Way Unit 2medford, Medford, OR 97504. The listed phone number is (458) 226-0017.

What is Johnathan Stillwagon'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 Johnathan Stillwagon was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.