GRACE OLIVIA JOHNSON

PORTLAND, OR
NPI1356064901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-09-20
Last Update Date2022-09-20
Business Address
GRACE OLIVIA JOHNSON
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206-1680
Phone number: 503-238-0705
Mailing Address
GRACE OLIVIA JOHNSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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