Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
55544
TX
1041C0700X
Clinical Social Worker
Primary
L13498
OR
1041C0700X
Clinical Social Worker
LW61240864
WA
Other
Enumeration date
11/11/2014
Last updated
07/08/2026
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