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ANJULI SHAH-JOHNSON
NPI 1043677198
Clinic/Center - Adolescent and Children Mental Health in Portland, OR

Active since January 20, 2016
1611 NE 16TH AVE, PORTLAND, OR 97232(773) 991-0103 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anjuli Shah-johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANJULI SHAH-JOHNSON (NPI 1043677198) is a healthcare organization registered as an adolescent and children mental health in Portland, Oregon and active in the NPI registry since January 2016. The organization lists Anjuli Shah-johnson, Owner/therapist/bodyworker, as its authorized official.

NPPES Registry Identity

NPI1043677198
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameANJULI SHAH-JOHNSON
Location Address1611 NE 16TH AVEPortland, OR 97232-1413
Mailing Address1611 Ne 16th AvePortland, OR 97232-1413
Phone(773) 991-0103
Organization SubpartNo
Authorized OfficialAnjuli Shah-johnsonOwner/therapist/bodyworker · (773) 991-0103
Enumeration DateJanuary 20, 2016
✔ NPI 1043677198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in OR · L5990
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.
1611 NE 16TH AVE, Portland, OR 97232
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NICHOLAS VALENTINE DEXTER MA, LPC
Counselor (Mental Health)
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 528-0150
MS. PATRICIA ELIZABETH ZSCHAU L.AC.
Acupuncturist
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 753-3503
CONNIE ELDRIDGE-PEDERSON, PHD, PC
Community/Behavioral Health
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 287-4426
MS. SUE ELLEN COLLINS-LARSON M.A., LPC
Counselor (Mental Health)
1611 NE 16TH AVE
PORTLAND, OR 97232
Multnomah County (503) 789-3666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anjuli Shah-Johnson's NPI number?

The NPI number for Anjuli Shah-Johnson is 1043677198. It was assigned to this organization in the NPPES registry on January 20, 2016.

Where is Anjuli Shah-Johnson located?

Anjuli Shah-Johnson is located at 1611 NE 16th Ave, Portland, OR 97232. The listed phone number is (773) 991-0103.

What is Anjuli Shah-Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Anjuli Shah-Johnson was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.