IndividualActive
General Johnson
NPI 1073399879 · Health & Wellness Coach · Portland, OR
Provider details
- NPI number
- 1073399879
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
2049 Nw Hoyt St Ste 4
Portland, OR 97209-1260
Phone: (503) 995-7578
Fax: (503) 914-5476
Approximate (ZIP-level) locationGet directions
Mailing address
9220 Sw Barbur Blvd.
Portland, OR 97219
Additional practice locations (1)
- 7335 Sw 27th AvePortland, OR 97219-2510Phone: (503) 995-7578Fax: (503) 914-5476
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.