Organization
DEBORAH JOHNSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JOHNSEN (OWNER)
(503) 516-3835
Entity
Organization
Contact information
Practice address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(503) 516-3835
Mailing address
595 NW 167TH AVE, BEAVERTON, OR 97006-8374
(503) 516-3835
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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