Organization
JASON A JOHNSON PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ALAN JOHNSON PSYD (OWNER)
(503) 853-4998
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST STE 245, PORTLAND, OR 97205-2507
(503) 853-4998
Mailing address
1020 SW TAYLOR ST STE 245, PORTLAND, OR 97205-2507
(503) 853-4998
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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