NPI 1043467954
Jill J Johnson, LCSW
Practice location
- Address
- 10180 SE Sunnyside Rd Mental Health Department, Clackamas, OR 97015-8970
- Phone
- (503) 652-2880
- Mailing address
- 2985 SW Christy Ave, Beaverton, OR 97005-1520
Registered specialties (2)
Social Worker
Primary
Mental Health Counselor
Registry record
- NPI
- 1043467954
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Aug 2008
- Record last updated
- 28 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.