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Individual

BRIDIGT JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8303 SW LOCUST ST, TIGARD, OR 97223-8816
(971) 271-7187
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/21/2017
Last updated
02/21/2017
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