Latia Johnson, is a
Peer Specialist based in Portland, Oregon. Latia Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
14600 Nw Cornell Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 645-3581.
NPI number for Latia Johnson is 1275076754 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275076754.
Healthcare Provider's Profile
Full Name | Latia Johnson |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 14600 Nw Cornell Rd, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275076754
- Provider Enumeration Date: 12/01/2016
- Last Update Date: 05/23/2018
Medical Identifiers
Medical identifiers for Latia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275076754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | 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. Latia 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 |
Latia Johnson, Po Box 8459, Portland, OR 97207-8459 Ph: (503) 238-0769 | Latia Johnson, 14600 Nw Cornell Rd, Portland, OR 97229 Ph: (503) 645-3581 |
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