Individual
JOSHUA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
9560 SW NIMBUS AVE, BEAVERTON, OR 97008-7184
(503) 614-1743
Mailing address
6500 SW SCHOLLS FERRY RD APT 1, PORTLAND, OR 97223-7177
(541) 731-3010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013406
OR
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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