person
Willamette J Johnson, QMHA-R
Mental Health Counselor in Portland, Oregon
NPI 1053190835

Willamette J Johnson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Willamette J Johnson practices in Portland, OR and has the professional credentials of QMHA-R. The NPI Number for Willamette J Johnson is 1053190835 and holds a License No. 23-QMHA-R-4436 (Oregon).

The current practice location address for Willamette J Johnson is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.

Location: 1310 Sw 17Th Ave, Portland, OR, 97205-1715
person
Provider Profile Details
NPI Number
1053190835
Provider Name
Willamette J Johnson
Credential
QMHA-R
Provider Entity Type
Individual
Gender
Male
Address
1310 Sw 17Th Ave, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-467-4077
Provider Enumeration Date
09/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider Business Mailing Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
23-QMHA-R-4436 (Oregon)
Definition
Definition to come...
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