Individual
JOHNNY YORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1584 NE 8TH ST STE 200, GRESHAM, OR 97030-5746
(971) 421-8696
Mailing address
5010 SE FOSTER RD UNIT 86540, PORTLAND, OR 97286-0840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C10952
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
02/02/2026
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