Individual
JESSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 SW GRIFFITH DR STE 201, BEAVERTON, OR 97005-2988
(541) 900-4285
Mailing address
5050 SW GRIFFITH DR STE 201, BEAVERTON, OR 97005-2988
(541) 900-4285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L18502
OR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
08/14/2026
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