Individual
DAMION JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 749-5760
Mailing address
5852 NE AINSWORTH ST, PORTLAND, OR 97218-2354
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
172A00000X
Driver
—
OR
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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