IndividualActive
Lauren Johnson, BS
NPI 1235675745 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1235675745
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- License
- 2630956 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Practice location
1904 Se Division St
Portland, OR 97202-1146
Phone: (503) 517-8663
Approximate (ZIP-level) locationGet directions
Mailing address
2960 Se 64th Ave
Portland, OR 97206-1977
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2020-01-09
- Certified
- 2020-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.