Individual provider · Type 1 NPI

Olivia Epp Johansson

Mental Health Counselor · Tigard, OR

NPI number 1063185510 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3690 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XTHW000105131 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1063185510

Olivia Epp Johansson's National Provider Identifier is 1063185510, issued on Jul 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jul 30, 2021.