Individual provider · Type 1 NPI
Regan Lynn Johnson
Mental Health Counselor · Portland, OR
NPI number
1770001638
Active
Practice location
10232 SE Ankeny St Apt C205
Portland, OR 97216-4617
Mailing address
8915 SW Center St
Tigard, OR 97223-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1770001638
Regan Lynn Johnson's National Provider Identifier is 1770001638, issued on Aug 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2017.