Individual
HOLLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 SW 13TH AVE, PORTLAND, OR 97201-3312
(503) 726-3832
(503) 726-3833
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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