| Katie Johnson, LSWAIC | |
| 
					2104 Se Morrison St, Portland, OR 97214-2825  | |
| (971) 285-6545 | |
| Not Available | 
| Full Name | Katie Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 2104 Se Morrison St, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982335832 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 61155587 (Washington) | Primary | 
| Entity Name | Alliance Counseling Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255495719 PECOS PAC ID: 1456883693 Enrollment ID: O20241014002149  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katie Johnson, LSWAIC 2104 Se Morrison St, Portland, OR 97214-2825 Ph: (971) 285-6545  | Katie Johnson, LSWAIC 2104 Se Morrison St, Portland, OR 97214-2825 Ph: (971) 285-6545  | 
Ms. Claudette Hastie Beahrs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3318 Ne Hancock St, Portland, OR 97212 Phone: 503-249-7215 Fax: 503-335-3444  | |
Ms. Sonya Carmen Strickland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 503-709-6101  | |
Mr. Del R Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205 Phone: 503-449-3238  | |
Mrs. Yvette Denine Arey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207 Phone: 503-220-8262 Fax: 503-273-5210  | |
Mr. Paul Patrick Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Se 14th Ave, Portland, OR 97214 Phone: 503-235-3433 Fax: 503-235-4762  | |
Mrs. Nalini Kuruppu, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 N Holman St, Portland, OR 97217 Phone: 503-753-9157  | |
Jeni Lynne Shilman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2701 Nw Vaughn St, Portland, OR 97210 Phone: 503-499-5200  |