Individual
DOUGLAS WILSON JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
811 NW 20TH AVE, PORTLAND, OR 97209-1443
(503) 252-3739
Mailing address
PO BOX 16722, PORTLAND, OR 97292-0722
(503) 252-3739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2627
OR
Other
Enumeration date
05/14/2007
Last updated
12/18/2007
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