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AUTRY JOHNSON
NPI 1669333639
Counselor - Mental Health in Portland, OR

Active since November 19, 2025
905 SE 14TH AVE, PORTLAND, OR 97214(503) 622-8964 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autry Johnson NPPES

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

AUTRY JOHNSON (NPI 1669333639) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1669333639
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameAUTRY JOHNSON
Location Address905 SE 14TH AVEPortland, OR 97214-2569
Mailing Address905 Se 14th AvePortland, OR 97214-2569 · (503) 622-8964
Phone(503) 622-8964
Sole ProprietorYes
Enumeration DateNovember 19, 2025
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1669333639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
905 SE 14TH AVE, Portland, OR 97214
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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.

CELINA SUSANA CASTILLO CHAVEZ
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
SHANNON TRUBATCH
Student in an Organized Health Care Education/Training Program
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
KHEFRI AZURE
Social Worker
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
HANNAH PHYL WESTBROCK
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
JENNIFER NOEL EBY
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
JESSICA GRUENSTEIN MA
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
ABEYTAX BARANA LPCA
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
QUILL HOGAN
Marriage & Family Therapist
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964

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 Autry Johnson's NPI number?

The NPI number for Autry Johnson is 1669333639. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Autry Johnson located?

Autry Johnson practices at 905 SE 14th Ave, Portland, OR 97214. The listed phone number is (503) 622-8964.

What is Autry 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 Autry Johnson was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.