LISA ANN JOHANSEN

PORTLAND, OR
NPI1306590021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-21-865)
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
Ms. LISA ANN JOHANSEN CADC-R
3036 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2510
Mailing Address
Ms. LISA ANN JOHANSEN CADC-R
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-889-2510
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