Individual provider · Type 1 NPI

Cheryl A. Johnson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1376884510 Active

Practice location

3034 NE Mlk Blvd
Portland, OR 97212-3053

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Adult Companion 372600000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1376884510

Cheryl A. Johnson's National Provider Identifier is 1376884510, issued on Mar 13, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on May 31, 2013.