person
Ms. Lisa Ann Johansen, CADC-R
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1306590021

Lisa Ann Johansen is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Lisa Ann Johansen practices in Portland, OR and has the professional credentials of CADC-R. The NPI Number for Lisa Ann Johansen is 1306590021 and holds a License No. T-21-865 (Oregon).

The current practice location address for Lisa Ann Johansen is 3036 Ne Martin Luther King Jr Blvd, Portland, OR and can be reached out via phone at 503-889-2510.

Location: 3036 Ne Martin Luther King Jr Blvd, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1306590021
Provider Name
Lisa Ann Johansen
Credential
CADC-R
Provider Entity Type
Individual
Gender
Female
Address
3036 Ne Martin Luther King Jr Blvd, Portland, OR, 97207-8459
Phone Number
503-889-2510
Fax Number
Provider Enumeration Date
02/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3036 Ne Martin Luther King Jr Blvd
City
State
Zip
97212-3053
Phone Number
503-889-2510
Fax Number
person
Provider Business Mailing Address Details
Address
3036 Ne Martin Luther King Jr Blvd
City
State
Zip
97212-3053
Phone Number
503-889-2510
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-21-865 (Oregon)
Definition
Definition to come...
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