Individual
MS. MICHELLE LEE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10568 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 806-0686
Mailing address
PO BOX 107, CORNELIUS, OR 97113
(971) 806-0686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
04/10/2023
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