FARLAND IDE JOHNSON

PORTLAND, OR
NPI1306072491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  11138)
Enumeration Date2009-06-03
Last Update Date2009-06-03
Business Address
Ms. FARLAND IDE JOHNSON LMT
7734 SE 66TH PL
PORTLAND, OR 97206-9658
Phone number: 971-404-5634
Mailing Address
Ms. FARLAND IDE JOHNSON LMT
7734 SE 66TH PL
PORTLAND, OR 97206-9658
Phone number: 971-404-5634
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