Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hailey Mae Johnson

Individual provider Mental Health Counselor · NPI 1558139642

Hailey Mae Johnson is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12511 SE Raymond St
Portland, OR 97236-3931
Phone: (503) 761-2580
Fax: (503) 761-2584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558139642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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