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1568739746
MATT ALLEN JOHNSTON
PORTLAND, OR
NPI
1568739746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-03-45U)
Enumeration Date
2011-11-16
Last Update Date
2024-04-26
Business Address
Mr. MATT ALLEN JOHNSTON LPC, CADC II
722 N SUMNER ST
PORTLAND, OR 97217-2641
Phone number: 719-319-3649
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Mailing Address
Mr. MATT ALLEN JOHNSTON LPC, CADC II
8004 N INTERSTATE AVE
PORTLAND, OR 97217-6631
Phone number: 971-319-3649
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