Individual
ROSE K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
23-QMHPC-001343
OR
Other
Enumeration date
02/26/2021
Last updated
03/28/2025
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