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1538789656
WILFORD JOHNSON
PORTLAND, OR
NPI
1538789656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000004160)
Enumeration Date
2020-04-18
Last Update Date
2020-04-18
Business Address
WILFORD JOHNSON PSS, CRM
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212-2086
Phone number: 503-206-8856
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Mailing Address
WILFORD JOHNSON PSS, CRM
3311 NE MARTIN LUTHER KING JR BLVD STE 104
PORTLAND, OR 97212-2086
Phone number: 503-206-8856
Copy
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NEURODIVERGENT PEER SUPPORT LLC