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1144301557
KELLY K JOHNSTON
TIGARD, OR
NPI
1144301557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Mrs. KELLY K JOHNSTON MS
7455 SW BEVELAND RD
TIGARD, OR 97223-8610
Phone number: 503-624-2600
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Mailing Address
Mrs. KELLY K JOHNSTON MS
8703 SE ELLIS ST
PORTLAND, OR 97266-4740
Phone number:
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