SearchOregon101YA0400X

Matt Johnston, LPC, CADC II

NPI 1568739746 · on the registry since 2011

Practice

Address
722 N Sumner St
Portland, OR 97217
Phone
(719) 319-3649
Organisation at this address
Awakening Your Authenticity Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon