Individual
DEBRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4257 SW 42ND ST, REDMOND, OR 97756-6977
(541) 224-8837
Mailing address
1400 EXECUTIVE PKWY STE 260, EUGENE, OR 97401-7121
(541) 224-8837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3606
OR
103TF0200X
Forensic Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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