Individual
ANNMARIE LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 S MACADAM AVE STE 260, PORTLAND, OR 97239-3741
(707) 696-2071
Mailing address
5520 S MACADAM AVE STE 260, PORTLAND, OR 97239-3741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6345
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6345
LICENSED PROFESSIONAL COUNSELOR
OR
Enumeration date
09/27/2021
Last updated
08/16/2022
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