Jacob O Johnson
Counselor - Addiction (Substance Use Disorder) • Gresham, OR
Professional Overview & Biography Verified Profile Summary
Jacob Johnson is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 1217 NE BURNSIDE RD STE 701 under active NPI credentials.
Practice Location & Contact Primary Location
1217 Ne Burnside Rd Ste 701
Gresham, OR 970305770
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR
Practicing in Gresham, OR (4216 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-06-29NUCC Taxonomy Code: 101YA0400X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Peer Specialist
Peer Specialist
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1217 NE BURNSIDE RD STE 701, GRESHAM, OR 970305770 (Tel: 5037401971)
Registered at 17893 SW NELS DR, SHERWOOD, OR 971408079 (Tel: 5033329041)
Recorded as JACOB JOHNSON
Counselor (License #T-25-5918 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
17893 Sw Nels Dr
Sherwood, OR 971408079
Phone: 5033329041
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