Individual
TAYLOR JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HWY 20, CORVALLIS, OR 97330, CORVALLIS, OR 97330
(503) 234-9591
Mailing address
3415 SE POWELL BLBD., PORTLAND, OR 97202, PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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