Individual
ALEXANDER HERBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
5847 NE HALSEY ST, PORTLAND, OR 97213-3669
(503) 382-9653
Mailing address
5847 NE HALSEY ST, PORTLAND, OR 97213-3669
(503) 382-9653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13171
—
Other
Enumeration date
04/24/2007
Last updated
04/04/2014
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