Individual provider · Type 1 NPI

Bonnie Renee Johnson, CADC1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1881065597 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229

Call (503) 645-3581 Map

Mailing address

14600 SW Cornell
Portland, OR 97229

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1881065597

Bonnie Renee Johnson, CADC1's National Provider Identifier is 1881065597, issued on Oct 8, 2015. 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 Oct 8, 2015.