Individual
BRETT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
11650 SW 67TH AVE, TIGARD, OR 97223-8589
(503) 208-4563
Mailing address
15875 BOONES FERRY RD UNIT 1254, LAKE GROVE, OR 97035-0812
(503) 208-4635
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1602
OR
Other
Enumeration date
03/08/2018
Last updated
07/02/2025
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