OrganizationActive
Anjuli Shah-Johnson
NPI 1043677198 · Adolescent and Children Mental Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1043677198
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anjuli Shah-Johnson, Owner/Therapist/Bodyworker(773) 991-0103
- License
- L5990 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1611 Ne 16th Ave
Portland, OR 97232-1413
Phone: (773) 991-0103
Approximate (ZIP-level) locationGet directions
Mailing address
1611 Ne 16th Ave
Portland, OR 97232-1413
Registry dates
- Enumerated
- 2016-01-20
- Last updated
- 2016-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.