Willamette J Johnson, QMHA-II
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1053190835
StatusActive
Last updated in NPPESMay 12, 2026
Details
- NPI
- 1053190835
- Entity type
- Individual (NPI-1)
- Name
- Willamette J Johnson
- Credential
- QMHA-II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2023
- Certification date
- May 12, 2026
- Last updated
- May 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 26-QMHA-II-000589 | OR | Yes |
Practice location
211 Se Caruthers StPortland, OR 97214-4502
Phone 503-231-2641 · Fax 503-467-4077
Mailing address
1776 Sw Madison StPortland, OR 97205-1715
Phone 503-224-1044 · Fax 503-621-2235
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