DR. JASON ALAN JOHNSON (NPI# 1669651543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669651543 |
Entity Type | Individual |
Full Name | DR. JASON ALAN JOHNSON |
Credential | PSY.D. |
Practice Address |
1020 Sw Taylor St Ste 245 Portland OR 97205-2507 |
Practice Telephone | 5038534998 |
Mailing Telephone | 5038534998 |
Enumeration Date | 2007-10-29 |
Last Update Date | 2019-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
08-08-25 | OR | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3055 | OR | Behavioral Health & Social Service Providers |
N | 174400000X | Specialist | Other Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
516 Se Morrison St Ste 1110, Portland, OR 972142390 | 5032428895 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
1386201275 | Jason Jesse Johnson | Counselor | 1618 Sherwood Ave, Baltimore, MD 21239-2410 | 2019-05-25 |
1003316183 | Jason J Johnson | Registered Nurse | 6464 Sw Borland Rd Ste C1, Tualatin, OR 97062-8856 | 2018-02-15 |
1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
1417304189 | Jason Anderson Johnson | Social Worker | 900 Beasly Street Suite 120, Lexington, KY 40509 | 2016-05-23 |
1649596958 | Jason Johnson | Social Worker | 90 Orchard St Fl 1, Elmwood Park, NJ 07407-2113 | 2010-04-12 |
1780709394 | Jason D Johnson | Plastic Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2007-03-20 |
1487710760 | Jason Thomas Johnson | Chiropractor | 3875 M72 East, Acme, MI 49610 | 2006-12-29 |
1033133194 | Jason Leonard Johnson | Emergency Medicine | 10600 4th St N, Apt 201, Saint Petersburg, FL 33716-3282 | 2006-07-26 |
1699744102 | Jason Bradley Johnson | Military Health Care Provider | Psc 844 Box 63, Fpo, AE 09844 | 2006-03-16 |
Street Address |
1020 SW TAYLOR ST STE 245 |
City | PORTLAND |
State | OR |
Zip Code | 97205-2507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
Find all providers in zip 97205 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.