Individual provider · Type 1 NPI

Victoria Lynne Johnson

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1861676769 Active

Practice location

2415 SE 43rd Ave
Portland, OR 97206-1600

Call (503) 238-0705 Map

Mailing address

12106 SE River Road, Apt 127
Milwaukie, OR 97222

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1861676769

Victoria Lynne Johnson's National Provider Identifier is 1861676769, issued on Dec 27, 2007. 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 Mar 3, 2008.