MR. Jackie Eugene Johnson, CADC II/QMHP-R is an addiction (substance use disorder) counselor in Portland, OR. MR. Jackie Eugene Johnson, CADC II/QMHP-R NPI is 1770745457. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1631 SW COUMBIA ST
PORTLAND, OR
ZIP 97201
Phone: (503) 231-2641
Fax: (503) 231-1654
The enumeration date for this NPI number is 6/25/2008 and was last updated on 9/28/2023.