Individual provider · Type 1 NPI

Willamette J. Johnson, QMHA-II

Mental Health Counselor · Portland, OR

NPI number 1053190835 Active

Practice location

211 SE Caruthers St
Portland, OR 97214-4502

Call (503) 231-2641 Map

Fax (503) 467-4077

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X26-QMHA-II-000589 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1053190835

Willamette J. Johnson, QMHA-II's National Provider Identifier is 1053190835, issued on Sep 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 12, 2026.