Johnson, Richard Powell

Johnson, Richard Powell is an sole proprietor health care provider with primary practice located at 15630 Se 90Th Ave , Clackamas OR 97015-9729. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Johnson, Richard Powell can be contacted via phone (971) 235-2954.

Contact Information

Primary practice address
15630 Se 90Th Ave Clackamas OR 97015-9729
Phone: (971) 235-2954
Fax: (503) 675-9988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 96-04-104 Oregon

Profile Details

NPI number 1457482077
LBN Legal business name Johnson, Richard Powell
Credentials M.A.,CADCIII,NCGCII,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 29th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457482077 NPPES
Oregon Other 96-04-104 ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON

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