Individual
DANIEL ROBERT JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12350 SE POWELL BLVD, PORTLAND, OR 97236-3432
(503) 477-2542
Mailing address
4546 SE FRANKLIN ST, PORTLAND, OR 97206-3115
(503) 477-2542
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113538
OR
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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