Jacob O Johnson
Jacob O Johnson is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
1217 NE Burnside Rd Ste 701Gresham, OR 97030-5770
Phone: (503) 740-1971
Fax: (503) 771-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence T-25-5918 (OR) |
|---|
Record details
| NPI number | 1669399903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2026 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
| Mailing address | 17893 Sw Nels Dr, Sherwood, OR 97140-8079 |
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