IndividualActive
James (jim) Johnson, PH.D.
NPI 1497831713 · Clinical Neuropsychologist · Portland, OR
Provider details
- NPI number
- 1497831713
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0515 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
516 Se 71st Ave
Portland, OR 97215-2132
Phone: (503) 252-3906
Fax: (503) 252-5824
Approximate (ZIP-level) locationGet directions
Mailing address
516 Se 71st Ave
Portland, OR 97215-2132
Registry dates
- Enumerated
- 2006-10-29
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.