Individual
DARNELL LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM, PSS, THW
Contact information
Practice address
2720 NE FLANDERS ST, PORTLAND, OR 97232-3160
(503) 238-5203
(503) 238-5202
Mailing address
2720 NE FLANDERS ST, PORTLAND, OR 97232-3160
(503) 238-5203
(503) 238-5202
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-930
OR
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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