institution
Anjuli Shah-johnson
Adolescent and Children Mental Health Clinic/Center in Portland, Oregon
NPI 1043677198

Anjuli Shah-johnson is an Adolescent and Children Mental Health Clinic/Center based in Portland, OR and is specialized in Adolescent and Children Mental Health. Anjuli Shah-johnson practices in Portland, OR. The NPI Number for Anjuli Shah-johnson is 1043677198 and holds a License No. L5990 (Oregon).

The current practice location address for Anjuli Shah-johnson is 1611 Ne 16Th Ave, Portland, OR and can be reached out via phone at 773-991-0103. You can also correspond with Anjuli Shah-johnson through the mailing address at 1611 NE 16TH AVE, PORTLAND, OR - 97232-1413 (mailing address contact number: ).

Location: 1611 Ne 16Th Ave, Portland, OR, 97232-1413
institution
Provider Profile Details
NPI Number
1043677198
Provider Name
Anjuli Shah-johnson
Credential
Provider Entity Type
Organization
Address
1611 Ne 16Th Ave, Portland, OR, 97232-1413
Phone Number
773-991-0103
Fax Number
Provider Enumeration Date
01/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 Ne 16Th Ave
City
State
Zip
97232-1413
Phone Number
773-991-0103
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Ne 16Th Ave
City
State
Zip
97232-1413
Phone Number
773-991-0103
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
L5990 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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