Individual
JANICE LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8635 SE ASH ST, PORTLAND, OR 97216-1054
(503) 261-1245
Mailing address
8635 SE ASH, PORTLAND, OR 97216-1054
(503) 261-1245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13421
OR
235Z00000X
Speech-Language Pathologist
LL60250790
WA
235Z00000X
Speech-Language Pathologist
SP2785
ME
Other
Enumeration date
11/05/2010
Last updated
05/08/2018
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