MR. JOHN EDWARD MULLIGAN IV CRM
NPI 1952871857
Peer Specialist in Portland, OR

Q: What is John Mulligan's NPI number?

The NPI number for John Mulligan is 1952871857. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Q: What is John Mulligan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Mulligan was last updated on December 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 04, 2018

7916 SE FOSTER RD STE 201, PORTLAND, OR 97206(503) 465-2749 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. John Edward Mulligan Iv Crm NPPES

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

MR. JOHN EDWARD MULLIGAN IV CRM (NPI 1952871857) is an individual peer specialist in Portland, Oregon and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1952871857

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. JOHN EDWARD MULLIGAN IVCredential: CRM

Location Address7916 SE FOSTER RD STE 201Portland, OR 97206-4289

Mailing AddressPo Box 16756Portland, OR 97292-0756 · (971) 517-7043 · Fax (503) 208-2596

Phone(503) 465-2749

Sole ProprietorNo

Enumeration DateDecember 4, 2018

✔ NPI 1952871857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

7916 SE FOSTER RD STE 201, Portland, OR 97206

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