Individual
KYLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
3445 BOONE RD SE, SALEM, OR 97317-9336
(503) 576-3000
Mailing address
2441 SE ASH ST, PORTLAND, OR 97214-1730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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