person
Robert Johnson, CADC1
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1528698941

Robert Johnson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Robert Johnson practices in Portland, OR and has the professional credentials of CADC1. The NPI Number for Robert Johnson is 1528698941 and holds a License No. 17-06-32 (Oregon).

The current practice location address for Robert Johnson is 16420 Se Division St, Portland, OR and can be reached out via phone at 503-762-3130 and via fax at 503-762-3199.

Location: 16420 Se Division St, Portland, OR, 97236-1987
person
Provider Profile Details
NPI Number
1528698941
Provider Name
Robert Johnson
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
16420 Se Division St, Portland, OR, 97236-1987
Phone Number
503-762-3130
Fax Number
503-762-3199
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16420 Se Division St
City
State
Zip
97236-1987
Phone Number
503-762-3130
Fax Number
503-762-3199
person
Provider Business Mailing Address Details
Address
16420 Se Division St
City
State
Zip
97236-1987
Phone Number
503-762-3130
Fax Number
503-762-3199
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17-06-32 ()
Definition
Definition to come...
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