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1396029930
ANNIE E JOHNSON
PORTLAND, OR
NPI
1396029930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 201150133NP)
Enumeration Date
2011-09-30
Last Update Date
2011-11-11
Business Address
-- ANNIE E JOHNSON CNM
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-1112
Phone number: 503-775-4931
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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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