Individual
LISA C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4900 SW GRIFFITH DR, BEAVERTON, OR 97005-5607
(503) 716-8295
(503) 954-3982
Mailing address
5908 SW 45TH AVE, PORTLAND, OR 97221-3473
(503) 716-8295
(503) 954-3982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3017
OR
Other
Enumeration date
03/22/2007
Last updated
03/17/2018
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