ROBERT JOHNSON

PORTLAND, OR
NPI1528698941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   17-06-32)
Enumeration Date2020-01-24
Last Update Date2020-01-24
Business Address
ROBERT JOHNSON CADC1
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number: 503-762-3130
Mailing Address
ROBERT JOHNSON CADC1
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number: 503-762-3130