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

Individual provider Peer Specialist · NPI 1538789656

Wilford Johnson, PSS, CRM is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
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Practice location Address checks out

3311 NE Martin Luther King Jr Blvd Ste 104
Portland, OR 97212-2086
Phone: (503) 206-8856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence THW000004160 (OR)

Record details

NPI number1538789656
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS , CRM
Sole proprietorNo
NPI enumeratedApril 18, 2020
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020

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