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RACHEL LEIGH MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
2090 SPRUCE AVE, WOODLAND, WA 98674-9631
(360) 907-3077

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
200742139RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
200742139RN
OR

Other

Enumeration date
06/28/2018
Last updated
06/28/2018
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