FREDERICK FARMAN JOHNSON

PORTLAND, OR
NPI1164794202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  18101)
Additional Taxonomies171W00000X Contractor
(Licence: OR  18101)
Enumeration Date2012-02-06
Last Update Date2012-02-06
Business Address
Mr. FREDERICK FARMAN JOHNSON L.M.T.
334 NE IRVING AVENUE
PORTLAND, OR 97702
Phone number: 541-419-4019
Mailing Address
Mr. FREDERICK FARMAN JOHNSON L.M.T.
334 NE IRVING AVE. 102
BEND, OR 97702
Phone number: