Individual
LAUREL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
2154 NE BROADWAY ST STE 110, PORTLAND, OR 97232-1561
(503) 473-2081
Mailing address
2154 NE BROADWAY ST STE 110, PORTLAND, OR 97232-1561
(503) 473-2081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A16501
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
01/13/2026
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