Marshall Wallace Johnson
NPI #1982259669 in Klamath Falls, Oregon
Provider Information
- NPI Number
- 1982259669
- Entity Type
- Individual
- Name
- Marshall Wallace Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 8, 2019
- Last Updated
- Aug 11, 2020
Practice Location
- Address
- 2210 N ELDORADO AVE
- City
- Klamath Falls
- State
- Oregon
- ZIP Code
- 97601-6418
- Phone
- (541) 883-1030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
| Case Manager/Care Coordinator |
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