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1528703923
AGITA JOHNSON
PORTLAND, OR
NPI
1528703923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW106595)
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
AGITA JOHNSON
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
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Mailing Address
AGITA JOHNSON
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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