Individual
LAUREL LEIGH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, LAC, DIPL. OM
Contact information
Practice address
1675 SW MARLOW AVE, STE 309, PORTLAND, OR 97225-5104
(503) 597-7780
Mailing address
1675 SW MARLOW AVE, STE 309, PORTLAND, OR 97225-5104
(503) 597-7780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3904
OR
171100000X
Acupuncturist
AC01256
OR
Other
Enumeration date
05/09/2008
Last updated
04/25/2017
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