WILLAMETTE J JOHNSON

PORTLAND, OR
NPI1053190835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHA-I-004369)
Enumeration Date2023-09-21
Last Update Date2024-04-18
Business Address
WILLAMETTE J JOHNSON QMHA-I
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
Mailing Address
WILLAMETTE J JOHNSON QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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