person
Brooke E Johnson
Mental Health Counselor in Portland, Oregon
NPI 1083189039

Brooke E Johnson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Brooke E Johnson practices in Portland, OR. The NPI Number for Brooke E Johnson is 1083189039 and holds a License No. (Oregon).

The current practice location address for Brooke E Johnson is 1027 E Burnside St, Portland, OR and can be reached out via phone at 971-202-8400 and via fax at 503-239-8407.

Location: 1027 E Burnside St, Portland, OR, 97214-1328
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Provider Profile Details
NPI Number
1083189039
Provider Name
Brooke E Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1027 E Burnside St, Portland, OR, 97214-1328
Phone Number
971-202-8400
Fax Number
503-239-8407
Provider Enumeration Date
10/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 01 OR COUNSELOR MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
971-202-8400
Fax Number
503-239-8407
person
Provider Business Mailing Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
971-202-8400
Fax Number
503-239-8407
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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