Individual
HAILEY BRIANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1815 NW 169TH PL STE 3070, BEAVERTON, OR 97006-7368
(719) 249-2653
(605) 747-4373
Mailing address
1815 NW 169TH PL STE 3070, BEAVERTON, OR 97006-7368
(719) 249-2653
(605) 747-4373
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
480691
OR
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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