Individual
ALISA S JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
2045 SILVERTON RD NE STE B, SALEM, OR 97301-9710
(503) 588-5351
Mailing address
3160 CENTER ST NE, SALEM, OR 97301-4530
(503) 585-4949
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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