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1043657687
JESSE JOHNSON
PORTLAND, OR
NPI
1043657687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-05-22
Last Update Date
2013-05-22
Business Address
-- JESSE JOHNSON M.A.
443 NE KNOTT ST
PORTLAND, OR 97212-3108
Phone number: 503-504-0941
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Mailing Address
-- JESSE JOHNSON M.A.
443 NE KNOTT ST
PORTLAND, OR 97212-3108
Phone number:
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