Kylie R Johnson, CRM is a
Peer Specialist based in Bend, Oregon. Kylie R Johnson is licensed to practice in Oregon (license number 21-CRM-428) and her current practice location is
389 Sw Scalehouse Ct Ste 130, Bend, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 306-4446.
NPI number for Kylie R Johnson is 1952989956 and her current mailing address is 389 Sw Scalehouse Ct Ste 130, Bend, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952989956.
Healthcare Provider's Profile
| Full Name | Kylie R Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 389 Sw Scalehouse Ct Ste 130, Bend, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952989956
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 11/10/2025
Medical Identifiers
Medical identifiers for Kylie R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952989956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 257467 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T221364 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 21-CRM-428 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylie R Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kylie R Johnson, CRM 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 Ph: (541) 306-4446 | Kylie R Johnson, CRM 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 Ph: (541) 306-4446 |
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