Individual
GENEVIEVE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
9955 SE WASHINGTON ST, SUITE 303, PORTLAND, OR 97216-2439
(503) 440-2942
Mailing address
240 SE 87TH AVE, PORTLAND, OR 97216-1528
(503) 440-2942
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01225
OR
Other
Enumeration date
05/13/2009
Last updated
09/21/2016
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