Individual
NATALIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11850 SW ALLEN BLVD, BEAVERTON, OR 97005-4805
(503) 646-7164
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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