NPI 1073399879
General Courtney Johnson
Practice location
- Address
- 2049 NW Hoyt St STE 4, Portland, OR 97209-1260
- Phone
- (503) 995-7578
- Fax
- (503) 914-5476
- Mailing address
- 9220 SW Barbur Blvd. STE 119 - #49, Portland, OR 97219
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1073399879
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Sep 2023
- Record last updated
- 6 Sep 2023
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.