Individual
MS. CYNTHIA L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1630 SW MORRISON ST, #100, PORTLAND, OR 97205-1916
(503) 227-7774
(503) 227-7548
Mailing address
1630 SW MORRISON ST, #100, PORTLAND, OR 97205-1916
(503) 227-7774
(503) 227-7548
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1681
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1681
PHYSICAL THERAPY LICENSE
OR
Enumeration date
10/17/2006
Last updated
07/08/2007
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