Individual
LAUREN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8607 NE FREMONT ST, PORTLAND, OR 97220-5146
(760) 429-4880
Mailing address
8607 NE FREMONT ST, PORTLAND, OR 97220-5146
(760) 429-4880
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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