Individual provider · Type 1 NPI

Robert Johnson, CADC1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1528698941 Active

Practice location

16420 SE Division St
Portland, OR 97236-1987

Fax (503) 762-3199

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17-06-32

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1528698941

Robert Johnson, CADC1's National Provider Identifier is 1528698941, issued on Jan 24, 2020. 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 Jan 24, 2020.