Marshall Wallace Johnson
Marshall Wallace Johnson is a Peer Specialist in Klamath Falls, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2210 N Eldorado AveKlamath Falls, OR 97601-6418
Phone: (541) 883-1030
Fax: (541) 884-2338
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1982259669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2019 |
| Last updated in NPPES | August 11, 2020 |
| Certification date | August 11, 2020 |
| Mailing address | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 |
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Dean Foster Jones
2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 · (541) 883-1030
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Donovan Jones
2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 · (541) 883-1030
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Kirstin Jones
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