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1518975051
KYLE PATRICK JOHNSON
PORTLAND, OR
NPI
1518975051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: OR MD18353)
Enumeration Date
2006-08-03
Last Update Date
2007-07-16
Business Address
KYLE PATRICK JOHNSON MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8617
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Mailing Address
KYLE PATRICK JOHNSON MD
3181 SW SAM JACKSON PARK RD OHSU, DC-7P
PORTLAND, OR 97239-3011
Phone number: 503-418-5775
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