Active NPI
Rue Johnson
- Counselor
- Sherwood, OR
National Provider Identifier
1760065445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C7812
- Practice address
- 14235 SW Tooze Rd
Sherwood, OR 97140-8444 - Phone
- (503) 329-2563
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C7812 | OR | Primary |
Addresses
Primary practice location
14235 SW Tooze Rd
Sherwood, OR 97140-8444
Mailing address
29030 SW Town Center Loop E Ste 202
Wilsonville, OR 97070-9490
Phone (503) 329-2563
Other practice location 1
29030 SW Town Center Loop E Ste 202
Wilsonville, OR 97070-9490
Phone (503) 329-2563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7812 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1760065445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29030 SW TOWN CENTER LOOP E STE 202",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709490",
"telephone_number": "503-329-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14235 SW TOOZE RD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408444",
"telephone_number": "503-329-2563"
}
],
"practiceLocations": [
{
"address_1": "29030 SW Town Center Loop E Ste 202",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970709490",
"country_code": "US",
"telephone_number": "503-329-2563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "RUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C7812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.