GRACE OLIVIA JOHNSON
NPI 1356064901
Counselor - Mental Health in Portland, OR
Active since September 20, 2022
4212 SE DIVISION ST STE 100, PORTLAND, OR 97206(503) 238-0705(503) 236-7166 Get Directions Write a Review
About Grace Olivia Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE OLIVIA JOHNSON (NPI 1356064901) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1356064901
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRACE OLIVIA JOHNSON
Location Address4212 SE DIVISION ST STE 100Portland, OR 97206-1680
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0705
Fax(503) 236-7166
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1356064901 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4212 SE DIVISION ST STE 100, Portland, OR 97206
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
PORTLAND, OR 97206
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
PORTLAND, OR 97206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356064901, enumerated as an "individual" on September 20, 2022.
The provider is located at 4212 SE DIVISION ST STE 100 PORTLAND, OR 97206 and the phone number is (503) 238-0705.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.