MARSHALL WALLACE JOHNSON
NPI 1982259669
Peer Specialist in Klamath Falls, OR

Active since August 08, 2019
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601(541) 883-1030(541) 884-2338 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Marshall Wallace Johnson NPPES

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

MARSHALL WALLACE JOHNSON (NPI 1982259669) is an individual peer specialist in Klamath Falls, Oregon and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1982259669
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARSHALL WALLACE JOHNSON
Location Address2210 N ELDORADO AVEKlamath Falls, OR 97601-6418
Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418 · (541) 883-1030 · Fax (541) 884-2338
Fax(541) 884-2338
Sole ProprietorYes
Enumeration DateAugust 8, 2019
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
NPI 1982259669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2210 N ELDORADO AVE, Klamath Falls, OR 97601

Other Providers at the Same Location NPPES 20

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

Registered Nurse
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Social Worker (Clinical)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Counselor
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Peer Specialist
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601

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 Marshall Johnson's NPI number?

The NPI number for Marshall Johnson is 1982259669. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Marshall Johnson located?

Marshall Johnson practices at 2210 N Eldorado Ave, Klamath Falls, OR 97601. The listed phone number is (541) 883-1030.

What is Marshall Johnson'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 Marshall Johnson was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.