Individual
HOLLY JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2245 NE 36TH AVE, PORTLAND, OR 97212-5239
(503) 208-5234
Mailing address
2245 NE 36TH AVE, PORTLAND, OR 97212-5239
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
549371
OR
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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