Individual
RUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14235 SW TOOZE RD, SHERWOOD, OR 97140-8444
(503) 329-2563
Mailing address
29030 SW TOWN CENTER LOOP E STE 202, WILSONVILLE, OR 97070-9490
(503) 329-2563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C7812
OR
Other
Enumeration date
04/30/2021
Last updated
05/30/2024
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