{"npi":"1053190835","type":"NPI-1","status":"active","name":{"display":"Willamette Johnson Qmha-Ii","other":[],"first":"WILLAMETTE","last":"JOHNSON","middle":"J","credential":"QMHA-II"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"OR","license":"26-QMHA-II-000589"}]},"addresses":[{"purpose":"LOCATION","street_1":"211 SE CARUTHERS ST","city":"PORTLAND","state":"OR","postal_code":"972144502","country_code":"US","phone":"5032312641","fax":"5034674077"},{"purpose":"MAILING","street_1":"1776 SW MADISON ST","city":"PORTLAND","state":"OR","postal_code":"972051715","country_code":"US","phone":"5032241044","fax":"5036212235"}],"license":{"state":"OR","number":"26-QMHA-II-000589"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500832475","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-09-21","last_updated":"2026-05-12","_meta":{"source":"NPPES","snapshot_date":"2026-05-12","doc_url":"https://findmynpi.com/api"}}