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1386230571
JEFF JOHNSON
PORTLAND, OR
NPI
1386230571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-12-12
Last Update Date
2020-12-12
Business Address
JEFF JOHNSON
6410 NE HALSEY ST
PORTLAND, OR 97213-4742
Phone number: 503-215-4663
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Mailing Address
JEFF JOHNSON
2729 SE YAMHILL ST APT 2
PORTLAND, OR 97214-2983
Phone number: 541-350-4107
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