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1053460196
STEVEN LEE JOHNSON
PORTLAND, OR
NPI
1053460196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- STEVEN LEE JOHNSON BS
5009 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-402-8116
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Mailing Address
-- STEVEN LEE JOHNSON BS
783 NW NAITO PKWY APT 531
PORTLAND, OR 97209-4756
Phone number:
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