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Individual

MS. JUDY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT, CPHT

Contact information

Practice address
15 N MORRIS ST, PORTLAND, OR 97227-1541
(503) 230-9875
Mailing address
15 N MORRIS ST, PORTLAND, OR 97227-1541
(503) 230-9875

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0010587
OR

Other

Enumeration date
03/09/2016
Last updated
03/09/2016
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