Zechariah Johnson-banik, PSS, QMHA-R is a
Peer Specialist based in Portland, Oregon. Zechariah Johnson-banik is licensed to practice in Oregon (license number ) and his current practice location is
12360 E Burnside St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(971) 279-4800.
NPI number for Zechariah Johnson-banik is 1386477099 and his current mailing address is 211 Se Caruthers St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386477099.
Healthcare Provider's Profile
Full Name | Zechariah Johnson-banik |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 12360 E Burnside St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386477099
- Provider Enumeration Date: 08/20/2024
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Zechariah Johnson-banik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386477099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 24-QMHA-R-6024 (Oregon) | Secondary |
175T00000X | Peer Specialist | (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. Zechariah Johnson-banik 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 |
Zechariah Johnson-banik, PSS, QMHA-R 211 Se Caruthers St, Portland, OR 97214-4502 Ph: (503) 224-1044 | Zechariah Johnson-banik, PSS, QMHA-R 12360 E Burnside St, Portland, OR 97233-1042 Ph: (971) 279-4800 |
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