Individual
MRS. KELLY K JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 624-2600
Mailing address
8703 SE ELLIS ST, PORTLAND, OR 97266-4740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
C2302
OR
Other
Enumeration date
10/19/2006
Last updated
03/13/2026
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