REGAN LYNN JOHNSON
NPI 1770001638
Counselor - Mental Health in Portland, OR

Active since August 31, 2017
10232 SE ANKENY ST APT C205, PORTLAND, OR 97216(541) 731-4123 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regan Lynn Johnson NPPES

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

REGAN LYNN JOHNSON (NPI 1770001638) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1770001638
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREGAN LYNN JOHNSON
Location Address10232 SE ANKENY ST APT C205Portland, OR 97216-4617
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 501-5322 · Fax (503) 726-5323
Sole ProprietorNo
Enumeration DateAugust 31, 2017
NPI 1770001638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10232 SE ANKENY ST APT C205, Portland, OR 97216

Other Names 1

Former Name (1)Regan Lynn Shattuck-smallwood

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 Regan Johnson's NPI number?

The NPI number for Regan Johnson is 1770001638. It was assigned to this individual provider in the NPPES registry on August 31, 2017. The provider is also known as Regan Lynn Shattuck-Smallwood.

Where is Regan Johnson located?

Regan Johnson practices at 10232 SE Ankeny St Apt C205, Portland, OR 97216. The listed phone number is (541) 731-4123.

What is Regan 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 Regan Johnson was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.