Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL JEPPSON JOHNSON LCSW (CRISIS INTERVENTION SPECIALIST)
(503) 643-4867
Entity
Organization
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
2985 SW CHRISTY AVE, BEAVERTON, OR 97005-1520
(503) 643-4867
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OR 2729
OR
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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