Individual
MRS. MARLENA LAURA-JOANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
444 VILLA RD, NEWBERG, OR 97132-1856
(503) 431-0063
(503) 554-1848
Mailing address
901 BRUTSCHER ST STE D PMB 150, NEWBERG, OR 97132-6096
(503) 431-0063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
094265
OR
Other
Enumeration date
09/17/2012
Last updated
05/15/2019
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