Johnson, Jason Alan

Johnson, Jason Alan is an sole proprietor health care provider with primary practice located at 1020 Sw Taylor St Ste 245 , Portland OR 97205-2507. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Jason Alan can be contacted via phone (503) 853-4998.

Contact Information

Primary practice address
1020 Sw Taylor St Ste 245 Portland OR 97205-2507
Phone: (503) 853-4998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 08-08-25 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3055 Oregon

Profile Details

NPI number 1669651543
LBN Legal business name Johnson, Jason Alan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Jun 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers