IndividualActive
Eric Johnson, PH.D.
NPI 1790813079 · Forensic Psychologist · Portland, OR
Provider details
- NPI number
- 1790813079
- Entity type
- Individual
- Primary specialty
- Forensic PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 633 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1942 Nw Kearney St Ste 21
Portland, OR 97209-1463
Phone: (503) 274-4017
Fax: (503) 274-2808
Approximate (ZIP-level) locationGet directions
Mailing address
1942 Nw Kearney
Portland, OR 97209
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.