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1477267268
MATTHEW RYAN JOHNSON
PORTLAND, OR
NPI
1477267268
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Other Name
MATTHEW RYAN SUMMERS-JOHNSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-06
Last Update Date
2023-01-06
Business Address
MATTHEW RYAN JOHNSON
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
MATTHEW RYAN JOHNSON
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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