IndividualActive
Courtney Johnson, PH.D.
NPI 1801562640 · Psychologist · Portland, OR
Provider details
- NPI number
- 1801562640
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 61189731 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3710 Sw US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 908-5172
Approximate (ZIP-level) locationGet directions
Mailing address
208 S Pendleton St
Portland, OR 97239-3884
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.