Individual
LINDEN JOHANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7409 SW CAPITOL HWY STE 205B, PORTLAND, OR 97219-2432
(503) 460-7881
Mailing address
7409 SW CAPITOL HWY STE 205B, PORTLAND, OR 97219-2432
(503) 460-7881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3148
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621330
EIN
OR
Enumeration date
07/30/2014
Last updated
07/30/2014
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