Search › Oregon › 101YM0800X
Khrystal Johnson, LPC
NPI 1720495534 · on the registry since 2014 · sole proprietor
Practice
- Address
- 631 Ne 102nd Ave
Portland, OR 97220 - Phone
- (971) 292-3874
- Fax
- (971) 328-4735
- Clinicians at this address
- 5
Additional practice sites
- 7525 Se Lake Rd, Milwaukie, OR
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-15
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