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1144583378
ANGELA NICOLE JOHNSON
PORTLAND, OR
NPI
1144583378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6156)
Enumeration Date
2012-06-22
Last Update Date
2014-05-16
Business Address
Mrs. ANGELA NICOLE JOHNSON PT
555 SW OAK STREET
PORTLAND, OR 97204
Phone number: 503-254-3424
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Mailing Address
Mrs. ANGELA NICOLE JOHNSON PT
9828 EAST BURNSIDE SUITE #250
PORTLAND, OR 97216-2365
Phone number: 503-254-3424
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