Individual
KATHERYN JEAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 SE DIVISION ST STE 202, PORTLAND, OR 97266-6400
(503) 335-5975
(503) 335-5974
Mailing address
11010 SE DIVISION ST STE 202, PORTLAND, OR 97266-6400
(503) 335-5975
(503) 335-5974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
106S00000X
Behavior Technician
—
WA
Other
Enumeration date
02/22/2020
Last updated
10/07/2020
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