Individual
MAGGIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1330 SE LAFAYETTE ST APT 3, PORTLAND, OR 97202-3854
(541) 252-1530
Mailing address
1330 SE LAFAYETTE ST APT 3, PORTLAND, OR 97202-3854
(541) 252-1530
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
05/24/2012
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