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

MS. Lisa Ann Johansen, CADC-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306590021

MS. Lisa Ann Johansen, CADC-R is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

3036 NE Martin Luther King Jr Blvd
Portland, OR 97212-3053
Phone: (503) 889-2510
Show map & directions

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-21-865 (OR)

Record details

NPI number1306590021
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-R
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

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