Individual
DR. ERIC MITCHELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1942 NW KEARNEY ST STE 21, PORTLAND, OR 97209-1463
(503) 274-4017
(503) 274-2808
Mailing address
1942 NW KEARNEY, SUITE 21, PORTLAND, OR 97209
(503) 673-0320
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
633
OR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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