Individual
DANIEL MALCOLM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 NW FRIBERG STRUNK ST, CAMAS, WA 98607-7697
(360) 604-6250
Mailing address
3609 NE 65TH AVE, PORTLAND, OR 97213-4419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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