Individual
BRANDON CORY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, LMHC
Contact information
Practice address
8514 SE STARK ST, PORTLAND, OR 97216-1140
(971) 231-0768
(971) 200-5813
Mailing address
8514 SE STARK ST, PORTLAND, OR 97216-1140
(971) 231-0768
(971) 200-5813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61514431
WA
101YP2500X
Professional Counselor
215581
AK
106H00000X
Marriage & Family Therapist
Primary
T2389
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500814559
—
OR
Enumeration date
03/19/2020
Last updated
02/23/2026
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