ANNIE E JOHNSON

PORTLAND, OR
NPI1396029930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OR  201150133NP)
Enumeration Date2011-09-30
Last Update Date2011-11-11
Business Address
-- ANNIE E JOHNSON CNM
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-1112
Phone number: 503-775-4931
Mailing Address
-- ANNIE E JOHNSON CNM
3727 NE MARTIN LUTHER KING JR BLVD ATTN: CREDENTIALING
PORTLAND, OR 97212-1112
Phone number: 503-775-4931
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