Johnny Vongvilay
Peer Specialist • Pasco, WA
Professional Overview & Biography Verified Profile Summary
Johnny Vongvilay is a registered healthcare professional specializing in Peer Specialist in Pasco, WA. Practice services are available at 1600 N 20TH AVE STE A under active NPI credentials.
Practice Location & Contact Primary Location
1600 N 20th Ave Ste A
Pasco, WA 993013376
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Pasco, WA
Practicing in Pasco, WA (2660 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-01-08NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Peer Specialist
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1600 N 20TH AVE STE A, PASCO, WA 993013376 (Tel: 5095373025)
Registered at 18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 972676723 (Tel: 9712550658)
Recorded as JOHNNY VONGVILAY
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
18600 Se Mcloughlin Blvd
Milwaukie, OR 972676723
Phone: 9712550658
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