Johnson, Marshall Wallace

Johnson, Marshall Wallace is an sole proprietor health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is his primary health care specialty. Johnson, Marshall Wallace can be contacted via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax: (541) 884-2338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1982259669
LBN Legal business name Johnson, Marshall Wallace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2019
Last updated Aug 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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