General Courtney Johnson

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2049 NW Hoyt St Ste 4
Portland, OR 97209-1260

Phone

(503) 995-7578

Fax

(503) 914-5476

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1073399879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SW BARBUR BLVD.",
            "address_2": "STE 119 - #49",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-995-7578",
            "fax_number": "503-914-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 NW HOYT ST STE 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091260",
            "telephone_number": "503-995-7578",
            "fax_number": "503-914-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7335 SW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972192510",
            "country_code": "US",
            "telephone_number": "503-995-7578",
            "fax_number": "503-914-5476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GENERAL",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayanna Johnson, LCSW
• Faye C. Johnson, M.D.
• Frederick Farman Johnson III, L.M.T.
• Gabrielle Johnson, PA-C, ATC
• Gayle Johnson
• Genevieve Lynn Johnson, L.AC.
• Ginnie Lee Johnson, PHARM D
• Glori Johnson
• Grace Olivia Johnson
• Gregory W Johnson, APRN, AGACNP-BC

• Health & Wellness Coach in Portland, OR
• Providers in Portland, OR by specialty
• Health & Wellness Coach in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.