Search › Oregon › 101YA0400X
Secret Johnston, CADC I/CRM/PSS/QMHAR
NPI 1306517420 · on the registry since 2021
Practice
- Address
- 1631 Sw Coumbia St
Portland, OR 97201 - Phone
- (503) 231-2641
- Fax
- (503) 231-1654
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
101YM0800X
175T00000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon