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1528698941
ROBERT JOHNSON
PORTLAND, OR
NPI
1528698941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 17-06-32)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
ROBERT JOHNSON CADC1
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number: 503-762-3130
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Mailing Address
ROBERT JOHNSON CADC1
16420 SE DIVISION ST
PORTLAND, OR 97236-1987
Phone number: 503-762-3130
Copy
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