JOHNNY L TALAWYMA

PORTLAND, OR
NPI1225652001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHP-R-3301)
Enumeration Date2020-06-08
Last Update Date2025-02-01
Business Address
Mr. JOHNNY L TALAWYMA BBH-LAC-LIC-64263
17645 NW SAINT HELENS RD
PORTLAND, OR 97231-1729
Phone number: 503-621-1069
Mailing Address
Mr. JOHNNY L TALAWYMA BBH-LAC-LIC-64263
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 971-217-9008