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

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Nurse Practitioner (Family)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
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.