Individual
CINDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15644 NE RUSSELL PL, PORTLAND, OR 97230-8232
(503) 896-1015
Mailing address
PO BOX 250, FAIRVIEW, OR 97024-0250
(503) 896-1015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L010428
OR
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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