LESLIE DEE JOHNSON

TIGARD, OR
NPI1336605575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  18-03-02)
Enumeration Date2019-02-12
Last Update Date2019-02-12
Business Address
LESLIE DEE JOHNSON CADC I
10362 SW MCDONALD ST
TIGARD, OR 97224-4863
Phone number: 503-624-0312
Mailing Address
LESLIE DEE JOHNSON CADC I
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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