Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mandy Lynn Johnson, PEERSUPPORTSPECIAL

Individual provider Peer Specialist · NPI 1780485094

Mrs. Mandy Lynn Johnson, PEERSUPPORTSPECIAL is a Peer Specialist in Pleasant Hill, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

36542 Highway 58
Pleasant Hill, OR 97455-9689
Phone: (541) 606-2919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 113576 (OR)

Record details

NPI number1780485094
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORTSPECIAL
Sole proprietorYes
NPI enumeratedMarch 22, 2025
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025

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