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Organization

KAJMD LLC

Active
Other names
Principle Mind, Integrative Mind
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH JOHNSON MD (OWNER)
(503) 606-6355
Entity
Organization

Contact information

Practice address
5 CENTERPOINTE DR STE 400, LAKE OSWEGO, OR 97035-8661
(503) 606-6355
(581) 333-1291
Mailing address
5 CENTERPOINTE DR STE 400, LAKE OSWEGO, OR 97035-8661
(503) 606-6355
(581) 333-1291

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
06/09/2020
Last updated
02/24/2023
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