Individual
QUINCY B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC , CRM, CGRM
Contact information
Practice address
10209 SE DIVISION ST BLDG C, PORTLAND, OR 97266-1372
(503) 228-9229
Mailing address
542 NE ANDERSON ST, VANCOUVER, WA 98665-8333
(360) 839-6813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
09/28/2022
Last updated
08/25/2025
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