Individual
DR. JAMES (JIM) CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
516 SE 71ST AVE, PORTLAND, OR 97215-2132
(503) 252-3906
(503) 252-5824
Mailing address
516 SE 71ST AVE, PORTLAND, OR 97215-2132
(503) 252-3906
(503) 252-5824
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0515
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515
PSYCHOLOGY LICENSE NUMBER
OR
Enumeration date
10/29/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us