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WILLAMETTE J JOHNSON QMHA-II
NPI 1053190835
Counselor - Mental Health in Portland, OR

Active since September 21, 2023
211 SE CARUTHERS ST, PORTLAND, OR 97214(503) 231-2641(503) 467-4077 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Apr 18, 2024 (2 updates tracked since 2024).

About Willamette J Johnson Qmha-ii NPPES

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

WILLAMETTE J JOHNSON QMHA-II (NPI 1053190835) is an individual mental health provider in Portland, Oregon, licensed in Oregon (26-QMHA-II-000589) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1053190835
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLAMETTE J JOHNSONCredential: QMHA-II
Location Address211 SE CARUTHERS STPortland, OR 97214-4502
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 231-2641
Fax(503) 467-4077
Sole ProprietorNo
Enumeration DateSeptember 21, 2023
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1053190835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 26-QMHA-II-000589
211 SE CARUTHERS ST, Portland, OR 97214
Open in Google Maps ↗

Other Identifiers 1

Medicaid500832475OR

Other Providers at the Same Location NPPES 10

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

EMMA R MARK QMHA-I
Counselor (Mental Health)
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (503) 224-1044
MS. GINGER MATTHEWS CADC 1
Counselor (Mental Health)
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (971) 217-9008
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (503) 224-1044
DAWN S M DURAN-CONRAD CADC I/PSS/QMHA-II
Counselor (Addiction (Substance Use Disorder))
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (503) 224-1044
NICHOLAS WAYNE TORIVIO PSS/PWS
Peer Specialist
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (503) 224-1044
SARAH DOERING A30943
Dental Assistant
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (971) 217-9008
MRS. KATHRYN MICHELLE HALVERSON LCSW
Social Worker (Clinical)
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (971) 217-9008
MICHELLE A HAIRGROVE QMHP-C
Counselor (Mental Health)
211 SE CARUTHERS ST
PORTLAND, OR 97214
Multnomah County (503) 224-1044

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 Willamette Johnson's NPI number?

The NPI number for Willamette Johnson is 1053190835. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Willamette Johnson located?

Willamette Johnson practices at 211 SE Caruthers St, Portland, OR 97214. The listed phone number is (503) 231-2641.

What is Willamette Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Willamette Johnson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.