Johnathan T Stillwagon
Johnathan T Stillwagon is a Peer Specialist in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
1026 N Berkeley Way Unit 2MEDFORDMedford, OR 97504-6226
Phone: (458) 226-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 7958 (OR) |
|---|
Record details
| NPI number | 1770400129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2026 |
| Last updated in NPPES | July 6, 2026 |
| Certification date | July 6, 2026 |
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