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1457768400
MARCIE MARIE JOHNSON
PORTLAND, OR
NPI
1457768400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA167463)
Enumeration Date
2014-07-22
Last Update Date
2016-12-01
Business Address
MARCIE MARIE JOHNSON PAC
9155 SW BARNES RD SUITE 536
PORTLAND, OR 97225-6625
Phone number: 503-935-8100
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Mailing Address
MARCIE MARIE JOHNSON PAC
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801
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