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HOLLY JOHNSEN
NPI 1063389559
Counselor - School in Portland, OR

Active since October 20, 2025
2245 NE 36TH AVE, PORTLAND, OR 97212(503) 208-5234 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Johnsen NPPES

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

HOLLY JOHNSEN (NPI 1063389559) is an individual school provider in Portland, Oregon, licensed in Oregon (549371) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1063389559
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameHOLLY JOHNSEN
Location Address2245 NE 36TH AVEPortland, OR 97212-5239
Mailing Address2245 Ne 36th AvePortland, OR 97212-5239
Phone(503) 208-5234
Sole ProprietorNo
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1063389559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in OR · 549371
2245 NE 36TH AVE, Portland, OR 97212
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

NANCY LEE REGISTERED NURSE
Registered Nurse
2245 NE 36TH AVE
PORTLAND, OR 97212
Multnomah County (971) 645-3491
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
2245 NE 36TH AVE
PORTLAND, OR 97212
Multnomah County (503) 988-3663
CATRINA KNOERZER
Social Worker (School)
2245 NE 36TH AVE
PORTLAND, OR 97212
Multnomah County (503) 916-5160
DR. JASON LEE BREAKER
Counselor (School)
2245 NE 36TH AVE
PORTLAND, OR 97212
Multnomah County (503) 916-5160
AMANDA JORDAN
Counselor (School)
2245 NE 36TH AVE
PORTLAND, OR 97212
Multnomah County (503) 916-5160

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 Holly Johnsen's NPI number?

The NPI number for Holly Johnsen is 1063389559. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Holly Johnsen located?

Holly Johnsen practices at 2245 NE 36th Ave, Portland, OR 97212. The listed phone number is (503) 208-5234.

What is Holly Johnsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Holly Johnsen was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.