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MS. LISA ANN JOHANSEN CADC-R
NPI 1306590021
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since February 10, 2022
3036 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212(503) 889-2510 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Ann Johansen Cadc-r NPPES

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

MS. LISA ANN JOHANSEN CADC-R (NPI 1306590021) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-21-865) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1306590021
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. LISA ANN JOHANSENCredential: CADC-R
Location Address3036 NE MARTIN LUTHER KING JR BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 889-2510
Phone(503) 889-2510
Sole ProprietorYes
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1306590021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-21-865
3036 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97212
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Other Providers at the Same Location NPPES 14

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

DAVID MCCAULEY
Case Manager/Care Coordinator
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
ADINA BETH RUBIN QMHP, CADC-I
Counselor (Mental Health)
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
SHAWLA SCOTT BARKER
Counselor (Professional)
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
SARA COOKE MANNINO M.S.W.
Social Worker (Clinical)
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. ERICA LYNN BAILEY MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
ALICIA NICOLE CARTER DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (150) 328-3376
CATHERINE IRONBAR
Pharmacist
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
VASHTINA MICHELLE BOYCE QMHP-C
Counselor (Mental Health)
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763

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 Lisa Johansen's NPI number?

The NPI number for Lisa Johansen is 1306590021. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Lisa Johansen located?

Lisa Johansen practices at 3036 NE Martin Luther King Jr Blvd, Portland, OR 97212. The listed phone number is (503) 889-2510.

What is Lisa Johansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Johansen was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.