Individual
KELSEY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5240 NE ELAM YOUNG PKWY, HILLSBORO, OR 97124-6437
(503) 846-4555
Mailing address
5240 NE ELAM YOUNG PKWY, HILLSBORO, OR 97124-6437
(503) 846-4555
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
111596
OR
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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