Individual
DONA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 OVERLOOK DR, LAKE OSWEGO, OR 97034-6605
(503) 636-4589
Mailing address
9336 N PIER PARK PL, UNIT A, PORTLAND, OR 97203-1097
(503) 244-4580
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
2535
OR
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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